A medical questionnaire template is a guideline of a medical questionnaire found on the Internet for people to download and use as a guideline when designing questionnaires of these type. Medical questionnaires cover a wide range of issue. The medical questionnaire template can be on varied issues including medical history, medical facilities and diseases. Medical questionnaire templates can be used by individuals or institutions when designing medical questionnaires. Below is an example of a medical questionnaire template.
Medical questionnaire template on the effect of HIV/AIDS in the society
Surname Middle name First name
_____________ ________________ _______________
Please answer the following questions with ‘yes or no’
Do the local hospitals in your area have voluntary counseling and testing services?
Are they effective in reaching out to the local people on issues concerning HIV/AIDS?
Have you ever been tested for HIV/AIDS?
Can you say that you have adequate information concerning HIV/AIDS?
Many HIV/AIDS patients face stigma from their friends and loved ones. Have you witnessed such a case?
Are the local hospitals equipped with anti retroviral drugs (ARVs) for HIV/AIDS patients?
In most cases, the youth in a society are the most affected group by HIV/AIDS. Why do you think this is so?
The main method of HIV/AIDS transmission is through sexual intercourse. What measures have been taken to educate people on prevention measures? (Tick where appropriate)
_____media (print, television, radio)
Medical Leadership Questionnaire
Medical Assessment Questionnaire
Medical Examination Questionnaire
Medical Treatment Questionnaire
Medical Education Questionnaire
Medical Coding Questionnaire
Medical Evaluation Questionnaire
Medical Negligence Questionnaire
Medical Billing Questionnaire
Online Medical Questionnaire
Sample Medical Questionnaire
Employee Medical Questionnaire