Health history questionnaire template

The health history questionnaire gathers vital information about a patient's personal medical history, family health background, lifestyle choices, and environmental exposures.

It also captures their reproductive and sexual history, and vaccination records, assisting healthcare professionals with indispensable information for accurate diagnosis and effective treatment planning.

Health History Questionnaire Template Builder

LimeSurvey's health history survey builder creates customizable questionnaires that gather valuable information on a patient's medical and family history, lifestyle habits, environmental exposures, and vaccination history, helping healthcare providers deliver personalized and effective treatment.

  • Easy and simple to use
  • Statistics
  • Questionnaire templates
  • GDPR compliance
  • So much more…

Related form templates

Best Healthcare Questionnaires and Feedback Form Templates

Health questionnaires and template forms are an effective tool for collecting comprehensive information about a patient's medical and family history, allowing healthcare providers to provide personalized care and make informed treatment decisions.
Trusted by the world's most curious minds