10+ Best Medical Questionnaires Examples & Templates [Download Now]


Are you stuck between creating a questionnaire template from scratch and downloading a pre-designed template? Or, maybe you don’t have enough time to prepare the document and you just need a quick solution? Whichever are the reasons, here is a list of 10+ sample questionnaires example templates that you can download for free and use straight away.

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Best Medical Questionnaires Examples & Templates

1. New Patient Medical Questionnaire Template

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  • PDF

Size: 42 KB

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If you are a new patient to some hospital, it is important to note that a physician in that healthcare facility will require you to present a medical report summary. You can ask a doctor from the hospital that you visit frequently to write you the report. However, they may take hours, days, maybe even weeks to provide the summary. That’s a very long time before the new doctor commences consultation, testing, and treatments. The best thing to do would be to fill out a new patient questionnaire form and present it to the new doctor. This form will help them to understand your medical history and give them the confidence to go ahead with evaluation and treatments.

2. Patient Medical Health History Questionnaire Template

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  • PDF

Size: 127 KB

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Every healthcare facility always asks patients to present their medical summary report. Doctors not only want to know what you are going through right now. They are also interested in knowing your past diagnosis and recommended treatments. The primary goal of medical history is to enable the physicians to understand your health statistics, do accurate tests, and recommend the best treatments. The best way to present your medical history to a physician is by filling out a medical questionnaire. You can download this PDF file and use it to present the relevant medical information. Click the link above to get the document for free.

3. Childhood Medical Health Assessment Questionnaire

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  • PDF

Size: 8 KB

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Before you take your child to a healthcare facility for examination and treatment, it is important to prepare their medical history and bring it with you to the hospital. This document is extremely important. So, you need to make sure the information you present is as accurate as possible. You could write a letter about your child’s health and present it to your doctor. But this isn’t as effective as using a questionnaire template. A questionnaire is always easy to fill out. And a pre-built one is a good option to get you started. Download this DOC file and use it to fill out answers to questions regarding the health of your child. Then, print the document and present it to your doctor.

4. Children Health Sample Medical Questionnaire

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  • PDF

Size: 136 KB

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Every parent wants to raise a happy, healthy child. Unfortunately, not many parents meet this goal. And the reason is very simple: they lack a healthy nutrition program for their young ones. If you are one such parent who doesn’t have a good diet plan template for your child yet, this is the best time to seek the help of a nutritionist. You will need to fill out a questionnaire form that will help a nutritionist to understand the diet structure that you have in place. If there is a need for adjustment, the nutritionist will advise you accordingly. Here’s a sample questionnaire template that you can download and use.

5. Student Health Assessment Medical Questionnaire Template

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  • DOC
  • DOCX

Size: 12 KB

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The purpose of this sample evaluation template is to help your doctor to understand your current health status. So, you need to make sure you give an accurate answer to every question asked. Once your medical doctor understands your past and current health records as well as status, they’ll be able to recommend the best treatment procedure and medication for your current condition. Now, it is important to note that this questionnaire contains confidential information that an unauthorized person shouldn’t access. Also, make sure that the information you present to your doctor is accurate because they will use that to recommend the best treatment options for you.

6. Sample Health Risk Assessment Questionnaire

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  • PDF

Size: 15 KB

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Answering a risk assessment questionnaire regarding your health has two benefits. First, it helps you to understand yourself as a person. By examining your mental wellness, emotional awareness, intellectual abilities, spiritual beliefs, personal value, fitness goals, and nutritional habits, you are able to develop a healthy lifestyle for the good of your very own health. Second, the information can help your medical doctor to determine whether you are healthy or susceptible to illnesses. It is important to answer the questionnaire carefully and the information you provide must be precise and true. You can download this questionnaire template and use it to save on time.

7. Personal Medical Questionnaire Template

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  • PDF

Size: 93 KB

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Just how well do you know your health as a person? Do you ever sit down to do a self-evaluation to determine if you are okay? If not, this may be the best time to start doing just that. At the end of the day, a personal medical evaluation enables you to determine whether you are physically fit and mentally upright or in need of medical assistance.  Use this sample template to do the analysis.

8. Pre Employment Medical Questionnaire Template

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  • PDF

Size: 407 KB

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Before a potential employer hires you, they’ll ask that you provide a medical report summary from your doctor. It is in your best interest that you provide this report because it will help a potentials employer to determine whether you are fit for the job or not. You can download and use this questionnaire template for this.

9. Printable Medical Questionnaire Template

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  • PDF

Size: 27 KB

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Are you looking for a very simple medical questionnaire template that you can download and use straight away? Or, maybe you don’t have time to create one from scratch and a pre-built option can work just fine for you? Here is a print-ready sample that you can download.

10. Free Health Medical Questionnaire Template

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  • PDF

Size: 82 KB

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You can create a medical questionnaire template from scratch. But that will take a lot of your time. The best option is to download and use a pre-designed template. This not only saves you time but also ensures that your questionnaires are ready in time.

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