You might be up and running now with no signs of impairment and disease, but the risk of contracting an illness may not be far off. Little do you know, it might be running on your very veins, waiting for triggers of an unhealthy lifestyle and neglected health concerns before striking. Genetic health implications are a major concern for health professionals. This is why they demand an accurate account of your background through a family history questionnaire. This helps them identify your potential risks and, in doing so, propose preventive measures on how to avoid inheriting the dangers of your genealogy’s past.

family history questionnaire

What Is a Family History Questionnaire

Upon assessing the risk of inherited diseases, Dr. Soren Snitkers of the University of Maryland School of Medicine says that while some conditions certainly come with your genetic makeup, others are caused by “increased risk” and could certainly be avoided with a lifestyle shift. To prove this, he and his colleagues made a study among an Amish population who have the FTO, a gene that causes obesity. Results revealed that those who have the same genes who exercised didn’t gain any weight. This is where your family and ethnic background becomes important. Knowing what risks you might help you perform proactive solutions to overcome them.

A family history questionnaire is an important tool for this purpose. It contains a set of questions to determine a patient’s family record. It is often given to a new physician handling a new patient. Moreover, this helps medical professionals evaluate a person’s condition and how his or her family’s files may affect it. When a significant risk is identified, the doctor can propose preventive methods and avoid it from happening.

9+ Family History Questionnaire Templates in PDF | DOC

1. Cancer Family History Questionnaire Template

cancer family health questionnaire templatecancer.net
Details
File Format
  • PDF

Size: 248 KB

Download Now

2. Family Medical History Questionnaire Template

family medical history questinnaire templatehealthywomen.org
Details
File Format
  • PDF

Size: 466 KB

Download Now

3. Family History Questionnaire Example

family history questionnaire examplebobcatsworld.com
Details
File Format
  • PDF

Size: 33 KB

Download Now

4. Family History Questionnaire Template in PDF

family history questionnaire template in pdfdcf.wisconsin.gov
Details
File Format
  • PDF

Size: 282 KB

Download Now

5. Family Hereditary History Questionnaire Template

family hereditary history questionnaire templateswedish.org
Details
File Format
  • PDF

Size: 123 KB

Download Now

6. Family History Screening Questionnaire Example

family history screening questionnaire exampleracgp.org
Details
File Format
  • PDF

Size: 30 KB

Download Now

7. Comprehensive Family History Questionnaire Template

comprahensive family history questionnaire templatesmh.com
Details
File Format
  • PDF

Size: 187 KB

Download Now

8. Simple Family History Questionnaire Template

simple family history questionnaire templatehealth.wa.gov
Details
File Format
  • PDF

Size: 229 KB

Download Now

9. Martial Family History Questionnaire Example

martial family history questionnaire exampleseasonsinourlife.com
Details
File Format
  • DOC

Size: 209 KB

Download Now

10. Family History Questionnaire Example in DOC

family history questionnaire example in dochopkinsmedicine.org
Details
File Format
  • DOC

Size: 10 KB

Download Now

How to Make a Family History Questionnaire

A family history questionnaire plays a significant role in promoting the well-being of every individual. The record doesn’t only contribute to a person’s current condition, but it will also help future generations. Read the guidelines below on how to create this efficient tool:

1. Know What to Include

Know what information you need to get out of the form. Aside from the names and the age of your relatives, it’s also necessary to include their ethnic background. Study shows that some diseases are more prevalent in a specific race or group of people. You also need to include questions about the presence of chronic diseases, mental health conditions, and pregnancy complications in the family. These information contribute to knowing the risk factors that the doctors need to assess. To know more, look for medical history samples and find out how they’re structured for your reference.

2. Make a Content Outline

Upon knowing what data to include in your questionnaire, outline them using a rough draft. Arrange your item questions into a neat list and decide how you want to make them appear on an actual layout. This activity helps you visualize the finished product, making the process easier to accomplish because you already have an idea in mind. This also aids you in assessing each questionnaire item and determining whether or not they’ll earn a space on the form.

3. Categorize Comprehensively

A family history questionnaire can be lengthy for a reason. It needs to cover up to the third degree of your relatives, which could include your mother and father’s families alongside their siblings’ families and children. This stretch could hold too much information and maybe confusing during the assessment of the document. Categorize all data accordingly. As an example, you can divide the information according to the person’s family sides. You can also start from the gathering with the oldest members (grandparents) up to the youngest to achieve a hierarchical flow.

4. Use Consistent Formatting

Consistent formatting also contributes to your questionnaire’s comprehensibility. Imagine having to go through several pages of a questionnaire that contain a mix of checklists, fill in the blanks, and tables, among others. This could confuse the one answering and may leave you with answers that could be incorrect. Employ a mix of one or two styles and stick with it all throughout the document.

FAQ’s

1. What is a questionnaire?

A questionnaire is a document that contains a series of questions often used for research and statistical purposes.

2. What is medical history?

Medical history is a comprehensive account of a person’s health records, which includes the history of past diagnoses, allergies, operations, immunizations, test results, prescribed medicines, and medical family background.

3. What is pedigree analysis?

Pedigree analysis refers to the process of explaining the information presented on a pedigree. A pedigree is a family tree diagram that uses symbols and determines the disease or medical conditions of each member. This helps identify a disease pattern among the bloodline.

History may have had its time, but it still holds imminent power over the present. This applies especially in the field of medicine. Professionals consult past findings and refer to old cases and couple it with today’s innovation to produce the best solutions. This is also true for assessing an individual’s health and wellness. Paying no attention to what past implications might mean for your today could result in dilemmas that could’ve been evaded through a little peek on your family’s history. Your family tree may not only be a means to trace your lineage; it could save lives as well./

Read related blog Articles

See All
20+ Work Questionnaire Templates in PDF | DOC

20+ Work Questionnaire Templates in PDF | DOC

Work Questionnaire is a general form of a questionnaire that contains a list of questions that are related to the…

Aug 06, 2020
11+ Security Assessment Questionnaire Templates in MS Word | MS Excel | PDF

11+ Security Assessment Questionnaire Templates in MS Word | MS Excel | PDF

Security Assessment Questionnaire (SAQ) is basically a cloud duty for guiding business method management evaluations among your external and internal…

Jan 21, 2020
10+ Pre-Employment Health Questionnaire Templates in PDF | MS Word

10+ Pre-Employment Health Questionnaire Templates in PDF | MS Word

Before the final employment, a final screening is run to get the basic knowledge of the candidate’s health condition. The…

Jan 21, 2020
19+ Child Questionnaire Templates in PDF | MS Word

19+ Child Questionnaire Templates in PDF | MS Word

Survey questions to ask a young person is a questionnaire to know what the child is thinking and to understand…

Jan 21, 2020
10+ Food Survey Questionnaire Templates in PDF | MS Word | Pages | Google Docs

10+ Food Survey Questionnaire Templates in PDF | MS Word | Pages | Google Docs

Who can live without food? Food is one of the basic necessities of an individual but do we realize the…

Jan 20, 2020
15+ Pre-Employment Questionnaire Templates in PDF | MS Word

15+ Pre-Employment Questionnaire Templates in PDF | MS Word

A pre-employment questionnaire templates is one of the important methods used under the pre-employment assessment. It helps in evaluating job…

Jan 20, 2020
7+ Student Experience Questionnaire Templates in PDF | MS Word

7+ Student Experience Questionnaire Templates in PDF | MS Word

A student experience questionnaire form is meant to assemble the essential personal details of every student of the various departments.…

Jan 20, 2020
10+ Financial Planning Questionnaire Templates in MS Word | PDF

10+ Financial Planning Questionnaire Templates in MS Word | PDF

The financial planning questionnaire consists of a list of questions which is utilized for the method of assessing the capital…

Jan 20, 2020
9+ Financial Management Questionnaire Templates in PDF | MS word

9+ Financial Management Questionnaire Templates in PDF | MS word

Financial management questionnaire pays attention to queries about the ratio, equity, and debts. It means planning, organizing, directing, and controlling…

Jan 20, 2020