_________ you had any recent weight changes, fever, or fatigue?
Have
_______ you live alone or with family?
Do
______ do you do?
What
_______ you noticed any changes in appetite or sleep?
Have
________ you smoke or drink alcohol?
Do
________ there anything else you’d like to mention?
Is
________ would you describe your diet and physical activity?
How
_________ brings you in today?
What
________ you have any questions or concerns?
Do
_______ you have any allergies to medications or foods?
Do
_______ there a family history of heart disease, diabetes, or cancer?
Is
________ you have any existing medical conditions?
Do
________ you currently taking any medications?
Are