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Medical Symptoms Questionnarie
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Medical Symptoms Questionnaire Name _____________________________ Date _________________ Rate each of the following symptoms based upon your typical health profile for: Past 30 days Past 48 hours Point Scale 0 1 2 3 4 HEAD ________ ________ ________ ________ Headaches Faintness Dizziness Insomnia EYES ________ ________ ________ ________ Watery or itchy eyes Swollen, reddened or sticky eyelids Bags or dark circles under eyes Blurred or tunnel vision (does not include near or far-sightedness) Total ________ EARS ________ ________ ________ ________ Itchy ears Earaches, ear infections Drainage from ear Ringing in ears, hearing loss Total ________ ________ ________ ________ ________ ________ Stuffy nose Sinus problems Hay fever Sneezing attacks Excessive mucus formation Total ________ ________ ________ ________ ________ ________ Chronic coughing Gagging, frequent need to clear throat Sore throat, hoarseness, loss of voice Swollen or discolored tongue, gums, lips Canker sores Total ________ ________ ________ ________ ________ ________ Acne Hives, rashes, dry skin Hair loss Flushing, hot flashes Excessive sweating Total ________ ________ ________ ________ Irregular or skipped heartbeat Rapid or pounding heartbeat Chest pain Total ________ NOSE MOUTH/THROAT SKIN HEART - Never or almost never have the symptom Occasionally have it, effect is not severe Occasionally have it, effect is severe Frequently have it, effect is not severe Frequently have it, effect is severe Total ________ CAROL HARRACKSINGH,MD,FACOG Medical Symptoms Questionnaire LUNGS Chest congestion Asthma, bronchitis Shortness of breath Difficulty breathing Total ________ DIGESTIVE TRACT ________ ________ ________ ________ ________ ________ ________ Nausea, vomiting Diarrhea Constipation Bloated feeling Belching, passing gas Heartburn Intestinal/stomach pain Total ________ JOINTS/MUSCLE ________ ________ ________ ________ ________ Pain or aches in joints Arthritis Stiffness or limitation of movement Pain or aches in muscles Feeling of weakness or tiredness Total ________ ________ ________ ________ ________ ________ ________ Binge eating/drinking Craving certain foods Excessive weight Compulsive eating Water retention Underweight Total ________ ENERGY/ACTIVITY ________ ________ ________ ________ Fatigue, sluggishness Apathy, lethargy Hyperactivity Restlessness Total ________ MIND ________ ________ ________ ________ ________ ________ ________ ________ Poor memory Confusion, poor comprehension Poor concentration Poor physical coordination Difficulty in making decisions Stuttering or stammering Slurred speech Learning disabilities Total ________ ________ ________ ________ ________ Mood swings Anxiety, fear, nervousness Anger, irritability, aggressiveness Depression Total ________ ________ ________ ________ Frequent illness Frequent or urgent urination Genital itch or discharge WEIGHT EMOTIONS OTHER ________ ________ ________ ________ Total ________ GRAND TOTAL TOTAL _________

MSQ - Medical Symptoms Questionnaire - Natural Health Center

MSQ - Medical Symptoms Questionnaire Rate each of the following symptoms based upon your typical health profile for the past 30 days. Point Scale: 2 = Frequently have it, effect is not severe 3 = Occasionally have it, effect is severe 4 = Frequently have it, effect is severe Emotions _______Mood Swings _______Anxiety, fear or nervousness _______Anger, irritability or aggressiveness _______Depression Total _______Fatigue, sluggishness _______Apathy, lethargy _______Hyperactivity _______Restlessness Total ______ Mind Nose ______ Mouth/Throat ______ Total _______Irregular or skipped heartbeat _______Rapid or pounding heartbeat _______Chest Pain Total _______Pain or aches in joints _______Arthritis _______Stiffness or limitation of movement _______Pain or aches in muscles _______Feeling of weakness or tiredness Total ______ Weight Total Head _______Headaches _______Faintness _______Dizziness _______Insomnia Heart ______ Joints & Muscles [does not include near or far sightedness] ______ Skin _______Watery or itchy eyes _______Swollen, reddened or sticky eyelids _______Bags or dark circles under eyes _______Blurred or tunnel vision Total Lungs Digestive Tract Total Ears _______Itchy Ears _______Ear aches, ear infections _______Drainage from ear _______Ringing in ears, hearing loss Eyes _______Nausea or vomiting _______Diarrhea _______Constipation _______Bloated Feeling _______Belching or passing gas _______Heartburn Energy & Activity 0 = Never or almost never have the symptom 1 = Occasionally have it, effect is not severe Other ______ _______Chest Congestion _______Asthma, bronchitis _______Shortness of breath _______Difficulty Breathing _______Poor memory _______Confusion, poor comprehension _______Difficulty in making decisions _______Stuttering or stammering _______Slurred speech _______Learning disabilities Total ______ Total ______ _______Chronic coughing Total _______Gagging frequently; need to clear throat _______Sore throat, hoarseness, loss of voice _______Swollen or discolored tongue, gums, lips _______Canker Sores ______ _______Stuffy nose _______Sinus problems _______Hay fever _______Sneezing attacks _______Excessive mucus formation Total _______Acne _______Hives, rashes, or dry skin _______Hair loss _______Flushing or hot flashes _______Excessive sweating Total _______Binge eating/drinking _______Craving certain foods _______Excessive weight _______Compulsive eating _______Water retention _______Underweight Total _______Frequent illness _______Frequent or urgent urination _______Genital itch or discharge Total ______ ______ ______ ______ ______ Grand Total _____

Medical Symptoms Questionnaire (MSQ) - Camp Chiropractic

Medical Symptoms Questionnaire (MSQ) Name: ______________________________________ Date: _______________ Email Address: _____________________________________________________ Rate each of the following symptoms based upon your typical health profile for the past 30 days. Point Scale 0 - Never or almost never have the symptom 1 - Occasionally have it, effect is not severe 2 - Occasionally have it, effect is severe 3 - Frequently have it, effect is not severe 4 - Frequently have it, effect is severe Head _______ _______ _______ _______ Headaches Faintness Dizziness Insomnia Total _______ Eyes _______ _______ _______ _______ Watery or Itchy Eyes Swollen, Reddened or Sticky Eyelids Bags or Dark Circles Under Eyes Blurred or Tunnel Vision (does not include near or far-sighted) Total _______ Ears _______ _______ _______ _______ Itchy Ears Earaches, Ear Infections Drainage from Ear Ringing in Ears, Hearing Loss Total _______ Nose _______ _______ _______ _______ _______ Stuffy Nose Sinus Problems Hay Fever Sneezing Attacks Excessive Mucus Formation Total _______ Mouth/ Throat _______ _______ _______ _______ _______ Chronic Coughing Gagging, Frequent Need to Clear Throat Sore Throat, Hoarseness, Loss of Voice Swollen or Discolored Tongue, Gums, or Lips Canker Sores Skin _______ _______ _______ _______ _______ Acne Hives, Rashes, Dry Skin Hair Loss Flushing, Hot Flashes Excessive Sweating Total _______ Total _______ Heart _______ _______ _______ Irregular or Skipped Heartbeat Rapid or Pounding Heartbeat Chest Pain Total _______ The Wellness ScoreTM Lungs _______ _______ _______ _______ Chest Congestion Asthma, Bronchitis Shortness of Breath Difficulty Breathing Total _______ Digestion

Dog Breeds and Their Behavior - Springer

Dog Breeds and Their Behavior James A. Serpell and Deborah L. Duffy Abstract Domestic dogs display an extraordinary level of phenotypic diversity in morphology and behavior. Furthermore, due to breeding practices introduced during the nineteenth century, these phenotypic traits have become relatively ‘fixed’ within breeds, allowing biologists to obtain unique insights regarding the genetic bases of behavioral diversity, and the effects of domestication and artificial selection on temperament. Here we explore differences in behavior among the 30 most popular dog breeds registered with the American Kennel Club based on owner responses to a standardized and validated behavioral questionnaire (CBARQÓ). The findings indicate that some breed-associated temperament traits (e.g. fear/anxiety) may be linked to specific gene mutations, while others may represent more general behavioral legacies of ‘ancient’ ancestry, physical deformity, and/or human selection for specific functional abilities. They also suggest that previous efforts to relate dog breed popularity to behavior may have failed due to the confounding effects of body size.

Merbau Units to form the perfect Courtyard Distance for Your Home

Merbau is among the actual in demand decking wood moved to France simply because of its quite a few health benefits. It can also be called through other these people : love ipil and thus kwila. Persons of Victoria will always be with the look-out suitable for good ways to raise their own home and additionally Merbau decking will be trendiest preference with the field at present. Questionnaire is legendary simply spectacular appearance is actually your solid timber outdoor environment your real estate can engage in this type of great the placement. While you'll could possibly excellent place to machine the perfect bar-b-que function or even hurry experiencing and enjoying the the outdoors found in solitude.

SMART SOLUTION Tes Potensi Akademik SBMPTN 2013

Rangkuman Materi SBMPTN 2013 SELEKSI BERSAMA MASUK PERGURUAN TINGGI NEGERI Disertai Teori Ringkas dan Pembahasan Soal Tes Potensi Akademik (TPA) Disusun Oleh : Pak Anang Kumpulan SMART SOLUTION dan TRIK SUPERKILAT Ringkasan Materi SBMPTN Tes Potensi Akademik (TPA) Penalaran Verbal (Sinonim, Antonim, dan Analogi) By Pak Anang ( A. PENALARAN VERBAL 1. SINONIM (Padanan Kata) Soal-soal sinonim, kemampuan yang dituntut adalah adik-adik mampu mencari arti dari sebuah kata pada pilihan jawaban yang tersedia. Tips agar adik-adik mudah menyelesaikan soal tentang sinonim adalah sering membaca. Nah, saat menemukan kata-kata asing, jangan ditinggalkan begitu saja, catat dan coba mencari padanan katanya di Kamus Besar Bahasa Indonesia. TRIK SUPERKILAT: Seringkali ada pilihan jawaban yang hampir mirip dengan soal. Biasanya jawaban ini adalah diberikan sebagai jawaban jebakan. Contoh soal sinonim: PARTIKELIR = .... A. Tukang parkir B. Partisan C. Partisi D. Swasta E. Enterprener Pembahasan: Jawaban B dan C mirip dengan kata yang digunakan pada soal. Biasanya ini mudah kita eliminasi sebagai jebakan jawaban..... Sehingga mempemudah kita dalam menjawab soal sinonim ini. Jawaban yang tepat adalah ”swasta”. 2. ANTONIM (Lawan Kata) Soal tentang antonim ini kebalikan dari sinonim. Dalam soal antonim adik-adik dituntut untuk mencari lawan kata dari soal yang diberikan. Contoh soal antonim: TERKATUNG A.Melayang B.Pasti C.Ombak D.Terperosok E.Terbenam

What Happened on 9/11? Nine Years of Polling College ...

F O L L O W I N G THE DEATH of Osama Bin Laden, many American young people across the country gathered on street comers and in front of the White House, some celebrating with chants of "U-S-A" and others singing the national anthem. Press coverage of the youthñil celebrators, many of them part of Generation Y or the Millennial Generation, renamed these young people the "9/11 Generation."' Newspaper accounts following Bin Laden's demise discuss him as "the common evil" that the Millennial Generation faced in much the same way as their grandparents had faced Hitler.2 One student remarks that Bin Laden's death is "the defining moment" of his generation.^ Nine-eleven, it appears, is a memorable moment for this generation. Over nine years earlier, on September 11, 2001,1 was also concemed about how young people would come to understand what came to be called "9/11." After spending the moming of September 11, 2001 watching television as the Twin Towers in New York collapsed, I arrived on campus to teach my lower-division history class, and was immediately informed that classes were cancelled for the day because of the "evil attacks." Since I regularly tell my students that "evil" is not a useful analytic term for the writing and understanding of history, I devised a questionnaire for my History 101 students to assess their understanding of the event." The History Teacher

Basic Academy application kit - Raleigh Police Department

CITY OF RALEIGH POLICE DEPARTMENT Honesty Statement PLEASE READ CAREFULLY: All statements are subject to verification and any incorrect statements or omissions may bar or remove you from employment with the City or Raleigh or prohibit your certification as a law enforcement officer with the State of North Carolina. Truthful statements to any item requested will not necessarily exclude you from consideration. During the course of the hiring process, you will be asked to answer many questions and to provide much information about your life. We expect you to tell the truth at all times and we expect you to maintain a high level of integrity. If you lie, provide false information or engage in deception during any part of the application process, you will be eliminated from further consideration immediately. Applicant Signature: _________________________________ Date: _________________________________ P.O. BOX 590 RALEIGH, NC 27602 PHONE: (919) 996-1343 APPLICATION PACKET CHECKLIST REQUIRED DOCUMENTS I have enclosed the completed documents for review by the Raleigh Police Department’s Recruitment Office. Applicant’s name:_________________________________________________________ Date:_________________ Mail to: RPD’s Recruitment Office, Application Packet, 6716 Six Forks Road, (Suite 331), Raleigh, NC 27615 REQUIRED FORMS TO BE COMPLETED AND RETURNED TO OUR AGENCY 1. Raleigh Police Department’s Pre-employment/Polygraph questionnaire. -Listing all employers for the past 10 years Are the following items complete and in the packet to be returned to the Raleigh Police Department?

Panduan penulisan Penerbitan Buku Teks - PDPT

Panduan Penulisan Buku Panduan ini merupakan petunjuk penulisan buku pelajaran (ilmiah populer) yang digunakan untuk menentukan kelayakan naskah bagi penerbit. Panduan ini membahas pengertian buku pelajaran & diktat, tujuan penulisan buku pelajaran, isi buku pelajaran, sampul buku, bagian pembuka, bagian utama dan bagian penutup serta ketentuan jumlah halaman. Buku Pelajaran (Text book) & Diktat Buku pelajaran adalah bahan/materi pelajaran yang dituangkan secara tertulis dalam bentuk buku dan digunakan sebagai bahan pelajaran (sumber informasi) sebuah mata kuliah bagi mahasiswa dan pengajar susuai dengan kebutuhan lapangan/industry dan tuntutan perkembangan teknologi dan atau kurikulum. Diktat adalah catatan tertulis suatu bidang studi yang disiapkan oleh guru/dosen untuk mempermudah pengayaan materi pelajaran atau bidang studi yang dibahas dalam proses pembelajaran (Ilvandri, 2011). Diktat yang baik merupakan draft buku ajar yang belum diterbitkan. Tujuan penulisan buku pelajaran a. Menyediakan buku susuai dengan kebutuhan mahasiswa, institusi dan lapangan/ industry serta serta tuntutan perkembangan teknologi atau kurikulum. b. Mendorong penulis/dosen untuk berkreasi dan kreatif membagikan ilmunya kepada masyarakat. c. Mendorong penulis untuk meng-update ilmunya sesuai dengan kriteria tuntutan buku layak terbit mencakup subdstansi, bahasa dan potensi pasar. d. Mendukung penulis untuk menerbitkan buku bila belum terbit. Isi Buku Pelajaran Isi buku pelajaran berupa teori, konsep, formula atau aturan terkini dilengkapi dengan contoh-contoh masalah atau studi kasus serta solusinya. Isi buku harus orsinil dengan merujuk dari berbagai sumber. Informasi tepat, dapat dipercaya dan dipertanggungjawabkan kepada pembaca dan semua pihak terkait. Isi tersusun dengan baik atau dengan alur informasi yang mudah dipahami. Buku pelajaran dan diktat yang baik memenuhi tiga aspek pendidikan yaitu ilmu pengetahuan (knowledge), keterampilan (skills) dan sikap atau perilaku (attitude). Aspek tersebut seperti yang dinyatakan oleh UNESCO (1994) yaitu...

When Anxiety Symptoms Masquerade as Medical Symptoms: What ...

J Clin Psychol Med Settings DOI 10.1007/s10880-008-9129-4 When Anxiety Symptoms Masquerade as Medical Symptoms: What Medical Specialists Know about Panic Disorder and Available Psychological Treatments Ellen J. Teng Æ Angelic D. Chaison Æ Sara D. Bailey Æ Joseph D. Hamilton Æ Nancy Jo Dunn Ó Springer Science+Business Media, LLC 2008 Abstract Under-recognition of somatic symptoms associated with panic in primary care settings results in unnecessary and costly diagnostic procedures and inappropriate referrals to cardiologists, gastroenterologists, and neurologists. In the current study specialists’ knowledge regarding the nature and treatment of panic were examined. One-hundred and fourteen specialists completed a questionnaire assessing their knowledge about panic attacks, including their perceptions of psychologists’ role in treating panic. Respondents answered 51% of knowledge items correctly. Although most knew the definition of a panic attack, they knew less about clinical features of panic and its treatment. Specifically, whereas 97.4% believed medication effectively relieves panic symptoms, only 32.5% knew that cognitive-behavioral therapy (CBT) is a first-line treatment. Only 6% reported knowing how to implement CBT, and only 56.1% recognized that psychologists could effectively treat panic. These findings demonstrate significant gaps in specialists’ knowledge about panic and the E. J. Teng (&) Á A. D. Chaison Á S. D. Bailey Á J. D. Hamilton Á N. J. Dunn Michael E. DeBakey Veterans Affairs Medical Center, 116 MHCL-TRP, 2002 Holcombe Blvd, Houston, TX 77030, USA e-mail:; E. J. Teng Houston Center for Quality of Care & Utilization Studies, Houston, TX, USA E. J. Teng Á S. D. Bailey Á J. D. Hamilton Á N. J. Dunn Veterans Affairs South Central Mental Illness Research, Education, and Clinical Center, Houston, TX, USA E. J. Teng Á A. D. Chaison Á S. D. Bailey Á J. D. Hamilton Á N. J. Dunn Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA