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Patient Health Questionnaires

Patient Health Questionnaires 

All forms can be completed and submitted online. Thank you for taking the time to complete the form.

These easy to use patient questionnaire have been validated for use in Primary Care.

For patients who are due an annual asthma review.

Please would you answer the questions on the form below and submit it to us.

If your symptoms are deteriorating or you have any concerns, please make an appointment to the respiratory nurse or a doctor as well.

Asthma Form

Your Health and Wellbeing

It is used by your doctor to assess your level of physical activity.

Physical Activity Questionnaire

Please answer the questions in the short questionnaire to enable us to assess your alcohol consumption rate and offer advice if necessary.

Alcohol Consumption Questionnaire

It is used by your doctor to monitor the severity of depression and response to treatment.

It can also be used to make a tentative diagnosis of depression.

Anxiety & Depression Assessment

It is used by your doctor to monitor the severity of depression and response to treatment.

It can also be used to make a tentative diagnosis of depression.

PHQ-9 Depression Assessment Questionnaire



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