10101 Health Inventory

General

What is the general status of your health?

Is your lifestyle sedentary, moderately active, or active?

Are there any inheritable conditions in your family?

What operations have you had and when?

Illness

Do you suffer from any chronic illnesses/conditions? (Medical situations for which there isn’t an actual cure which you manage with medications.)

How do you manage these conditions?

What acute illnesses have you had in your lifetime?

Medications

List any medications you take regularly, either those prescribed by a doctor or those that are over-the-counter or alternative in their nature

Medical Care

What access do you have to medical care? Do you have insurance? List all medical providers with whom you have a patient relationship, both in the regular medical system and in the alternative system.

If you don’t have any regular patient-provider relationships, where do you go for health care?

Do you use any alternative forms of medical care?

Do you use any herbs in your medical care? What is your source of these herbs or herbal preparations?

Risks

What risks of illness and injury do you experience from your environment? Detail these risks and their sources if they can be identified.

Give a brief summary of the medical history of your family.

Indicators

See your doctor and get some blood work done.

How is your blood pressure? Where does it range?

Fasting blood sugar? A1C test results (a measure of the average of your blood sugar over the previous three months)?

Cholesterol (total, HDL, and LDL)

Weight, height, and Body Mass Index