Family Social History (FHx/SHx)
Brother, Sister
Last Updated: February 12, 2021
General
Last Updated: February 12, 2021
Grand Son/Daughter
Last Updated: February 12, 2021
Maternal and Paternal Grand Mother/Father
Last Updated: February 12, 2021
Maternal and Paternal Uncle/Aunt
Last Updated: February 12, 2021
Mother, Father
Last Updated: February 12, 2021
Nephew, Niece, Other
Last Updated: February 12, 2021
Son, Daugher
Last Updated: February 12, 2021
Alcohol, Drug, Vaping Use
Last Updated: February 12, 2021
Education
Last Updated: February 12, 2021
Family Dynamics
Last Updated: February 12, 2021
Marital History
Last Updated: February 12, 2021
Caregiver, Disability, Functional Status
Last Updated: February 12, 2021
Dietary History, Financial Status, Military History
Last Updated: February 12, 2021
Living Situation, Travel History, Exercise
Last Updated: February 12, 2021
Psychosocial Stressors, Family Issues, Social Support
Last Updated: February 12, 2021
Non-Smoking Tobacco Use
Last Updated: February 12, 2021
Occupation
Last Updated: February 12, 2021
Occupational History
Last Updated: February 12, 2021
Sexual History
Last Updated: February 12, 2021
Alcohol Use
Last Updated: February 12, 2021
Depression
Last Updated: February 12, 2021
Exposure to Violence/Partner Abuse
Last Updated: February 12, 2021
Financial Resource Strain
Last Updated: February 12, 2021
Level of Education
Last Updated: February 12, 2021
Physical Activity/Exercise
Last Updated: February 12, 2021
Social Connections and Isolation
Last Updated: February 12, 2021
Stress
Last Updated: February 12, 2021