Instant Medical History Complaint List

Instant Medical History Complaint List
- Chief Complaint (Acute symptoms)
  - Breast
    - BRCA Survey
    - Breast Lump
    - Breast Pain
    - Breast Problems
    - Nipple Discharge
  - Cancer / Growth
    - Workup of Cancer Patient
      - Oncology Follow up Established Patient
      - Oncology New Patient
    - Abnormal Pap
    - Breast Lump
    - Lump / Mass / Growth
  - Cardiovascular
    - Workup of Cardiac Patient
      - Cardiovascular (General)
    - Anticoagulant (Coumadin) Management
    - Atherosclerosis (Trouble with circulation)
    - Barsky Palpitations Screening Instrument
    - Cardiac Events
    - Cardiovascular (General)
    - Chest Pain
    - Congestive Heart Failure Symptoms
    - Dyslipidemia
    - Dyspnea (Shortness of breath)
    - Edema (Swelling)
    - Heart Disease
    - Hypertension
    - Palpitations
    - Syncope
    - Wells Score for Deep Venous Thrombosis
  - Constitutional (General)
    - Brief Fatigue Inventory (BFI)
    - Constitutional General
    - Dizziness
    - Fatigue
    - Fatigue Severity Scale
    - Fever
    - Fibromyalgia Impact Questionnaire
    - Fibromyalgia Rapid Screening Test
    - Iowa Fatigue Scale (IFS)
    - Obesity
    - Weakness
    - Weight Gain
    - Weight Loss
  - Ear / Nose / Mouth / Throat (Otolaryngology)
    - Colds and Flu
      - Cold, Flu - Long
      - Cold, Flu - Medium
      - Cold, Flu - Short
    - Ear infection and Earache
      - Earache - Long
      - Earache - Medium
      - Earache - Short
    - Sleep Disorders
      - Daytime Sleepiness (13 questions)
      - Daytime Sleepiness (23 questions)
      - Epworth Sleepiness Scale
      - Sleep Apnea, Hyponea Syndrome (SAHS)
      - Sleep Disorder
      - Snoring
    - Upper Respiratory Infections
      - Upper Respiratory Infection (URI) - Long
      - Upper Respiratory Infection (URI) - Medium
      - Upper Respiratory Infection (URI) - Short
    - Allergy Symptoms
    - Dental Problem
    - Dizziness Handicap Inventory (DHI)
    - Ear / Nose / Mouth / Throat (General)
    - Facial Pain
    - Hearing Loss
    - Lump / Mass / Growth
    - Motion Sickness
    - Mouth Sores
    - Pharyngitis
    - Rhinitis
    - Sinusitis
    - Sore Throat
  - Eyes (Ophthalmology)
    - Eyes (General)
    - Facial Pain
    - Itchy Eyes
    - Painful Eye
    - Red Eye
    - Yellowing of Eyes
    - Watery Eyes
  - Gastrointestinal
    - Quality of Life Measures
      - Bowel Evacuation Bother Scale
      - Bowel Problems Impact Scale
      - Fecal Gas Incontinence Bother Scale
      - Fecal Incontinence Bother Scale
      - Fecal Incontinence Bother Scale Group
      - Fecal Incontinence with Formed Stool Bother Scale
      - Fecal Incontinence with Loose Stool Bother Scale
      - Fecal Incontinence with Physical Activity Bother Scale
      - Fecal Incontinence with Urgency Bother Scale
      - Hemorrhoids Bother Scale
      - Impact of Weight on Physical Functions
      - Inflammatory Bowel Syndrome IMPACT III
      - Liver Disease
      - Pain Prior to Bowel Movements Bother Scale
      - Pain Relieved by Bowel Movements Bother Scale
      - Pain with Straining Bother Scale
      - Rectal Prolapse Bother Scale
      - Splinting Bother Scale
      - Straining Bother Scale
      - Urgency Bowel Movements Bother Scale
    - Eating Disorders
      - Binge Eating Scale (BES)
      - EAT-26 (Anorexia Scale)
      - Impact of Weight on Physical Functions
      - SCOFF (Anorexia Screen)
      - Three-Factor Eating Questionnaire
    - Abdominal Pain
    - Aberdeen Dyspepsia Questionnaire
    - Abnormal Liver Enzyme Elevation
    - Belching
    - Bloating
    - Bowel Problem
    - Constipation
    - Constipation Scoring System
    - Defecatory Dysfunction Scale
    - Diarrhea
    - Dysphagia (Trouble swallowing)
    - Fecal Incontinence
    - Flank Pain
    - Flatulence (Gas)
    - Gastrointestinal (General)
    - Heartburn
    - Indigestion
    - Jaundice
    - Liver Disease
    - Nausea or Vomiting
    - Nausea Questionnaire
    - Rectal Bleeding
    - Stomach Problem
  - Genitourinary
    - Both Sexes
      - Incontinence
        Incontinence Impact Questionnaire (IIQ) - Long Form
        Incontinence Impact Questionnaire (IIQ) - Short Form
        Incontinence Screen
        Nihira Baltimore Urogynecology Group Survey
      - Bladder Problems Impact Scale
      - Difficulty Urinating
      - Frequent Urination (Polyuria)
      - Genital Sores
      - Hematuria (Blood in urine)
      - Incontinence
      - Kidney Stones
      - Sex Drive Decreased
      - Urinary Hesitancy
      - Urinary Tract Infection (UTI)
      - Voiding Dysfunction
      - Voiding Irritation
    - Gynecology
      - Abnormal Pap
      - Amenorrhea
      - Change in Menstrual Periods
      - Duke Pelvic Floor Distress Inventory
      - Dysfunctional Uterine Bleeding
      - Dysmenorrhea (Painful Periods)
      - Dysmenorrhea Disability Assessment Scale
      - Dysparunia Scale
      - Edinburgh Postnatal Depression Scale
      - Gynecology (General)
      - Gynecology Problems
      - Incontinence
      - Incontinence Impact Questionnaire (IIQ) - Long Form
      - Irritative Voiding Symptoms
      - Menopause
      - Missed Period
      - Oral Contraceptives
      - Osteoporosis
      - Painful Periods Disability Assessment Scale
      - Pelvic Floor Disorders
      - Pelvic Pain
      - Pelvic Pain Disability Assessment Scale
      - Urinary Tract Infection (UTI)
      - Vaginal Bleeding
      - Vaginitis
    - Male Genitourinary
      - AUA Benign Prostate Hypertrophy Scale
        AUA Prostate Scale Part I
        AUA Prostate Scale Part II
        AUA Prostate Scale Part III
        AUA Prostate Scale Parts I, II, III
      - Androgen Deficiency in the Aging Male
      - Brief Sexual Function Inventory (BSFI)
      - Chronic Prostatitis Symptom Index
      - Erectile Dysfunction / Impotence
      - Erectile Dysfunction Screen
      - Erectile Function Index
      - Penile Discharge
      - Sexual Health Inventory of Men (SHIM)
      - Testicle Pain
      - Vasectomy
    - Quality of Life Measures
      - AUA Prostate Scale Part I
      - AUA Prostate Scale Part II
      - AUA Prostate Scale Part III
      - AUA Prostate Scale Parts I, II, III
      - Bladder Problems Impact Scale
      - Brief Sexual Function Inventory (BSFI)
      - Erectile Function Index
      - Herniation Problems Impact Scale
      - Incontinence Impact Questionnaire - Long Form
      - Incontinence Impact Questionnaire - Short Form
      - Kidney Disease
      - Pelvic Pain Disability Scale
      - Sexual Health Inventory of Men
      - Urinary Frequency Impact Scale
    - Genitourinary (General)
    - Incontinence Impact Questionnaire - Long Form
    - Incontinence Impact Questionnaire - Short Form
    - Overactive Bladder - Validated 8-Question Screener
    - Pelvic Floor Disorders
  - Hematology
    - Anticoagulant (Coumadin) Management
    - Bleeding
    - Bleeding Tendency
    - Hematology (General)
    - Lump / Mass / Growth
    - Lymphadenopathy (Enlarged lymph nodes)
    - Wells Score for Deep Venous Thrombosis
  - Immunology
    - Allergy Symptoms
    - HIV or AIDS
  - Infections
    - Colds and Flu
      - Cold / Flu - Long
      - Cold / Flu - Medium
      - Cold, Flu - Short
    - Cough
      - Cold / Flu - Short
      - Cough - Long
      - Cough - Medium
    - Ear Infection and Earache
      - Earache - Long
      - Earache - Medium
      - Earache - Short
    - HIV or AIDS
      - HIV Follow-up Care Established Patient
      - HIV New Patient
    - Respiratory Infections
      - Bronchial Infection (Lower respiratory tract infection)
      - Upper Respiratory Infection (URI) - Long
      - Upper Respiratory Infection (URI) - Medium
      - Upper Respiratory Infection (URI) - Short
    - Red Eye
    - Fever
    - HIV or AIDS
    - Jaundice
    - Lyme Disease
    - Pharyngitis
    - Sexually Transmitted Diseases (STD)
    - Sinusitis
    - Sore Throat
    - Travel Medicine
    - Urinary Tract Infection (UTI)
  - Metabolic
    - Diabetes
      - Diabetes Symptoms
      - Problem Areas in Diabetes (PAID)
    - Other Metabolic
      - Amenorrhea
      - Androgen Deficiency in the Aging Male
      - Diabetes Symptoms
      - Dyslipidemia (Abnormal blood fats)
      - Erectile Dysfunction Comprehensive Work-up
      - Estrogen Deficiency
      - Fever
      - Osteoporosis
    - Thyroid
      - Enlarged Thyroid Gland
      - Thyroid Gland Symptoms
      - Weakness
      - Weight Gain
    - Weight Changes
      - Binge Eating Scale (BES)
      - EAT-26 (Anorexia Scale)
      - Impact of Weight on Physical Functions
      - Obesity
      - SCOFF (Anorexia Screen)
      - Three-Factor Eating Questionnaire
      - Weight Gain
      - Weight Loss
    - Endocrine Symptoms (General)
    - Osteoporosis
  - Musculoskeletal
    - Back Pain
      - Back Pain (General)
      - Lower Back Pain
      - Middle Back Pain
      - Neck Disability Index
      - Oswestry Low Back Pain Disability Questionnaire
      - Upper Back Pain
    - Injury
      - Altercation (Fight)
      - Altercation (Fight)
      - Animal Bite
      - Bruise
      - Burn
      - Digital - Toe
      - Head Injury
      - Injury (General)
      - Insect Sting
      - Motor Vehicle Accident
      - Multiple Injuries
      - Repetitive Use Injury to Wrist
      - Work Related Injury
    - Other Musculoskeletal
      - Arm Pain
      - Chest Pain
      - Cincinnati Knee Rating System
      - Gout
      - Hip Disability and Osteoarthritis Outcome Score
      - Hip Pain
      - Knee Pain
      - Leg Pain
      - Osteoporosis
      - Neck Pain
      - Oxford Shoulder Score
      - Shoulder Pain
      - Tegner Lysholm Knee Scoring Scale
      - Total Hip Replacement Questionnaire
      - Wrist Pain (Carpal Tunnel Syndrome)
    - American Pain Society Guidelines for the Treatment of Pain
    - Joint Pain
    - Musculoskeletal (General)
    - Osteoporosis Risk
    - Pain Disability Assessment Scale
    - Patient Comfort Assessment Guide for Pain Management
    - Review of Systems - Rheumatology
  - Neurological Symptoms
    - Fatigue
      - Brief Fatigue Inventory (BFI)
      - Fatigue Severity Scale
      - Fibromyalgia Impact Questionnaire
      - Fibromyalgia Rapid Screening Test
      - Iowa Fatigue Scale (IFS)
      - Fatigue or Lethargy
    - Headache
      - Headache 1 (Questions: AVG-24 MEAN-24)
      - Headache 2 (Questions: AVG-44 MEAN-39)
      - Headache 3 (Questions: AVG-50 MEAN-41)
      - Headache 4 (Questions: AVG-64 MEAN-48)
      - Headache 5 (Questions: AVG-90 MEAN-89)
      - Headache Diagnostic Scale
      - Headache Impact Test (HIT)
      - Headache Unspecified
      - Migraine Disability Assessment Scale (MIDAS)
      - Migraine Headache Rapid Assessment Tool
      - Migraine Treatment Optimization Questionnaire (MTOQ) - 5
      - Wilkinson Medical Clinic Headache Questionnaire
    - Other Neurological Symptoms
      - Autonomic Nervous System
      - Daytime Sleepiness
      - Dizziness Handicap Inventory (DHI)
      - Dizziness or Lightheadedness
      - Hospital Anxiety Depression Scale (HADS)
      - Insomnia - New Patient
      - Loss of Consciousness
      - Patient Health Questionnaire (PHQ-9)
      - Syncope
      - Weakness
    - Adult ADHD Self-Report Scale (ASRS)
    - Mood Disorder Questionnaire for Bipolar Disorder (MDQ)
    - Neurological Symptoms (General)
  - Pain
    - Back Pain
      - Back Pain (General)
      - Lower Back Pain
      - Middle Back Pain
      - Neck Disability Index
      - Oswestry Low Back Pain Disability Questionnaire
      - Upper Back Pain
    - Extremity Pain
      - Arm Pain
      - Leg Pain
      - Hip Pain
      - Knee Pain
      - Shoulder Pain
      - Wrist Pain (Carpal Tunnel Syndrome)
    - Headache
      - Headache 1 (Questions: AVG-24 MEAN-24)
      - Headache 2 (Questions: AVG-44 MEAN-39)
      - Headache 3 (Questions: AVG-50 MEAN-41)
      - Headache 4 (Questions: AVG-64 MEAN-48)
      - Headache 5 (Questions: AVG-90 MEAN-89)
      - Headache Impact Test (HIT)
      - Headache Scale
      - Headache Unspecified
      - Migraine Disability Assessment Scale (MIDAS)
      - Migraine Headache Rapid Assessment Tool
      - Migraine Treatment Optimization Questionnaire (MTOQ) - 5
    - Injury
      - Altercation (Fight)
      - Altercation (Fight)
      - Animal Bite
      - Arm Pain
      - Bruise
      - Burn
      - Digital - Toe
      - General
      - Head Injury
      - Hip Pain
      - Injury (General)
      - Insect Sting
      - Leg Pain
      - Motor Vehicle Accident
      - Repetitive Use Injury to Wrist
      - Shoulder Pain
      - Work Related Injury
      - Wrist Pain
    - Other Pain
      - Earache
        Earache - Long
        Earache - Medium
        Earache - Short
      - Abdominal Pain
      - American Pain Society Guidelines for the Treatment of Pain
      - Breast Pain
      - Chest Pain
      - Dental Problem
      - Facial Pain
      - Mankowski Pain Scale
      - Narcotics Addiction
      - Neck Pain
      - Pain Disability Assessment Scale
      - Painful Mass
      - Painful Periods Disability Assessment Scale
      - Patient Comfort Assessment Guide for Pain Management
      - Pelvic Pain
      - Pelvic Pain Disability Assessment Scale
      - Wells Score for Deep Venous Thrombosis
    - Workup of a Pain Patient
      - American Pain Society Guidelines for the Treatment of Pain
      - Current Pain
      - Interventional Pain - Established Patient
      - Interventional Pain - New Patient
      - Pain - Follow up Established Patient
      - Pain - New Patient
      - Patient Comfort Assessment Guide for Pain Management
      - Review of Systems for Pain Patient
  - Psychiatric
    - Anxiety
      - Barsky Palpitations Screening Instrument
      - Bernreuter Agoraphobia Scale
      - Hamilton Anxiety Rating Scale (HAM-A)
      - Holmes Rahe Stress
      - Montgomery / Asberg Depression Rating Scale (MADRS)
      - Zung Anxiety
    - Depression
      - Carroll Depression
      - Center for Epidemiologic Studies Depression Scale (CES-D)
      - Edinburgh Postnatal Depression Scale (EPDS)
      - Geriatric Depression Scale (GDS)
      - Hospital Anxiety Depression Scale (HADS)
      - Montgomery / Asberg Depression Rating Scale (MADRS)
      - Patient Health Questionnaire (PHQ-9)
      - Single Question Depression Screen
      - Two Question Depression Screen
      - Zung Depression
    - Fatigue
      - Brief Fatigue Inventory (BFI)
      - Iowa Fatigue Scale (IFS)
    - General Psychological Evaluation
      - Mental Health Inventory-5
      - Post-Stress Syndrome
      - Psychiatric Impairment Scale
    - Physical Symptoms
      - Fatigue or Lethargy
      - Insomnia - New Patient
      - Nail Biting
      - Palpitations
    - Substance Abuse
      - Alcohol Use Disorder Identification Test (AUDIT)
      - CAGE Alcohol Screen
      - CAGE-A Drug / Alcohol Screen
      - CRAFFT Adolescent Substance Abuse Screening Test
      - Drug Abuse Screening Test - 10 (DAST-10)
      - Drug Abuse Screening Test - 20 (DAST-20)
      - Drug Usage Symptom Inventory (DUSI)
      - Fagerstrom Nicotine Dependency Scale
      - Hooked on Nicotine Checklist (HONC)
      - Michigan Alcohol Screening Test (MAST)
      - Narcotics Addiction
    - Adult ADHD Self-Report Scale (ASRS)
    - Burden (of caregiving) Interview (BI)
    - Mood Disorder Questionnaire for Bipolar Disorder (MDQ)
    - Propensity to Seek Health Care
    - Social Phobia Inventory (SPIN)
    - South Oaks Gambling Screen (SOGS)
    - Yale-Brown Obsessive Compulsive Scale (YBOCS)
  - Respiratory
    - Asthma Control Test (ACT)
    - Asthma Modifying Factors
    - Chest Pain
    - COPD (Emphysema) Symptoms
    - Cough - Medium
    - Cough - Short
    - Cough
    - Daytime Sleepiness (13 questions)
    - Dyspnea (Shortness of breath)
    - Epworth Sleep Scale
    - Graduated Apnea Screening Protocol (GASP)
    - Medical Research Council Dyspnea Scale (MRC)
    - Sleep Apnea / Hyponea Syndrome (SAHS)
    - Snoring
    - St. George Respiratory Questionnaire
    - Test for Respiratory and Asthma Control in Kids
    - Upper Respiratory Infection (URI) - Long
    - Upper Respiratory Infection (URI) - Medium
    - Wheezing
  - Skin or Integumentary
    - Biopsy, Skin
    - Burn
    - Cold Sore
    - Dry Skin Bother Scale
    - Eczema
    - Edema
    - Foot Odor
    - Frostbite
    - Genital Sores
    - Hair Problems
    - Hives (Urticaria)
    - Itching
    - Jaundice
    - losing hair
    - Lump / Mass / Growth
    - Nail Biting
    - Nail Problems
    - Onychomycosis (Toenail Fungus)
    - Rosacea
    - Skin (General)
    - Skin Rash
    - Unwanted Hair
    - Vitiligo (White Patches)
    - Warts
    - Wrinkles
  - Workup of Patient
    - All Systems (Review of Systems)
    - General Medical Exam (approx 78 questions)
    - General Medical Exam - Complete - (approx 237 questions)
    - Multi-specialty Group Questionnaire
- Acute Illness Follow-up
  - Abdominal Pain - Follow up
  - Abnormal Pap
  - American Pain Society Guidelines for the Treatment of Pain
  - Asthma Control Test (ACT)
  - Follow-up Symptom Brief
  - Joint Pain
  - Medication Follow-up
  - Migraine Headache - Follow up
  - Migraine Treatment Optimization Questionnaire (MTOQ) - 5
  - Montgomery / Asberg Depression Rating Scale (MADRS)
  - Nausea Questionnaire
  - Pain - Follow up Established Patient
  - Patient Comfort Assessment Guide for Pain Management
  - Symptoms Follow-up Comprehensive
- Chronic Illness Follow-up
  - All Systems (General follow-up)
    - Blood Tests
    - Satisfaction Survey (Exit survey)
    - Satisfaction Survey (Prior visit)
    - Symptoms Follow-up Comprehensive
  - Cardiovascular
    - Aberdeen Varicose Veins Scale
    - Angina
    - Anticoagulant (Coumadin) Management
    - Atherosclerosis (Heart / blood vessels)
    - Barsky Palpitations Screening Instrument
    - Congestive Heart Failure
    - Dyslipidemia
    - Heart Disease
    - Hvidovre Heart Failure Scale
    - Hypertension Follow-up
    - Varicose Veins
  - Eye
    - Glaucoma
  - Gastrointestinal
    - Aberdeen Dyspepsia Questionnaire
    - Bowel Problems Impact Scale
    - Constipation Scoring System
    - Defecatory Dysfunction Scale
    - Fecal Incontinence Bother Scale
    - Gastroesophageal Reflux (GERD)
    - Hemorrhoids Bother Scale
  - Genitourinary
    - Gynecology
      - Osteoporosis
      - Painful Periods Disability Assessment Scale
      - Pelvic Pain Disability Assessment Scale
    - Benign Prostatic Hypertrophy (AUA scale)
    - Chronic Renal Failure
    - Dysparunia Scale
    - Herniation Problems Impact Scale
    - Incontinence Impact Questionnaire - Long Form
    - Incontinence Impact Questionnaire - Short Form
    - Kidney Disease
    - Kidney Stones
    - Overactive Bladder - Validated 8-Question Screener
    - Pelvic Pain Disability Scale
    - Urethral Discharge
  - Infections
    - HIV or AIDS
    - Lyme Disease
  - Metabolic / Endocrine
    - Diabetes
    - Gout
    - Problem Areas in Diabetes (PAID)
  - Musculoskeletal
    - Back Pain
      - Back Pain Follow-up (General)
      - Lower Back Pain
      - Middle Back Pain
      - Neck Disability Index
      - Oswestry Low Back Pain Disability Questionnaire
      - Upper Back Pain
    - Joint Pain Syndromes
      - Joint Pain Follow-up
      - Osteoarthritis
      - Rheumatoid Arthritis
    - Gout
    - Osteoporosis
    - Repetitive Stress Syndromes
      - Carpal Tunnel Syndrome
  - Neurological Symptoms
    - Dementias
      - Activities of Daily Living (Complete)
    - Fatigue
      - Brief Fatigue Inventory (BFI)
      - Fatigue or Lethargy
      - Iowa Fatigue Scale (IFS)
    - Headache
      - Cluster Headache
      - Migraine Disability Assessment Scale (MIDAS)
      - Migraine Headache
      - Migraine Headache Rapid Assessment Tool
      - Migraine Treatment Optimization Questionnaire (MTOQ) - 5
      - Tension Headache
    - Other Neurological Symptoms
      - Adult ADHD Self-Report Scale (ASRS)
      - Brief Fatigue Inventory (BFI)
      - Chronic Fatigue
      - Dizziness Handicap Inventory (DHI)
      - Hospital Anxiety Depression Scale (HADS)
      - Mood Disorder Questionnaire for Bipolar Disorder (MDQ)
      - Patient Health Questionnaire (PHQ-9)
  - Pain
    - Headache
      - Cluster Headache
      - Migraine Disability Assessment Scale (MIDAS)
      - Migraine Headache
      - Migraine Headache Rapid Assessment Tool
      - Migraine Treatment Optimization Questionnaire (MTOQ) - 5
      - Tension Headache
    - Back Pain
      - Lower Back Pain
      - Middle Back Pain
      - Neck Disability Index
      - Oswestry Low Back Pain Disability Questionnaire
      - Upper Back Pain
    - American Pain Society Guidelines for the Treatment of Pain
    - Mankowski Pain Scale
    - Migraine Disability Assessment Scale (MIDAS)
    - Narcotics Addiction
    - Pain Disability Assessment Scale
    - Painful Periods Disability Assessment Scale
    - Patient Comfort Assessment Guide for Pain Management
    - Pelvic Pain Disability Assessment Scale
  - Psychiatric
    - Anxiety/ Depression
      - Carroll Depression
      - Center for Epidemiologic Studies Depression Scale (CES-D)
      - Geriatric Depression Scale (GDS)
      - Hamilton Anxiety Rating Scale
      - Hospital Anxiety Depression Scale (HADS)
      - Montgomery / Asberg Depression Rating Scale (MADRS)
      - Patient Health Questionnaire (PHQ-9)
      - Single Question Depression Screen
      - Two Question Depression Screen
      - Zung Anxiety
      - Zung Depression
    - Adult ADHD Self-Report Scale (ASRS)
    - Brief Fatigue Inventory (BFI)
    - Burden (of caregiving) Interview (BI)
    - Hospital Anxiety Depression Scale (HADS)
    - Iowa Fatigue Scale (IFS)
    - Mood Disorder Questionnaire for Bipolar Disorder (MDQ)
    - Narcotics Addiction
    - Patient Health Questionnaire (PHQ-9)
  - Respiratory
    - Asthma - Follow up Visit (Suburban Pediatrics)
    - Asthma / Chronic Follow-up
    - Asthma Control Test (ACT)
    - COPD (Emphysema) Symptoms
    - Medical Research Council Dyspnea Scale (MRC)
    - Sleep Apnea / Hyponea Syndrome (SAHS)
- Other Interviews
  - Pre-procedure Interviews
    - Beta Blocker Pre-Op Assessment Tool
    - Biopsy, Liver
    - Biopsy, Prostate
    - Biopsy, Skin
    - Endoscopy Work up
    - Excision Lesion
    - Pre-anesthestic Medical Exam
    - Pre-operative Exam
    - Wells Score for Deep Venous Thrombosis
  - Satisfaction Studies
    - General Practice Assessment Questionnaire
    - Satisfaction Survey (Exit survey)
    - Satisfaction Survey (Prior visit)
  - Anticoagulant (Coumadin) Management
  - Appointment Request
  - Blood Tests
  - Burden (of caregiving) Interview (BI)
  - Demographics Check
  - Locus of Control for Medical Issues
  - Medicolegal Issues
  - Prompt for Medication Refill
  - Referral to Another Provider
  - Spirituality History
- Past, Family, Social History
  - Allergy History
    - Animals
    - Foods / Tobacco
    - General - Long
    - General - Short
    - Habitat / Environment
    - Home Allergies
    - Inhaled Chemicals or Cosmetics
    - Latex
    - Medications
    - Plants
  - Medication History
    - Current Medications
    - Medication History
    - Over the Counter Medications
    - Prescription Medications
    - Prompt for Medication Refill
  - Family History
  - Pediatric Past Medical History (under 9)
  - Personal / Family History
  - Social History
  - Surgical History
  - Travel Medicine
- Periodic, Prevention, Wellness Screening
  - Functional Status Inventories
    - Activities of Daily Living (Complete)
    - Asthma Control Test (ACT)
    - Asthma Control Test (ACT) - Under 12
    - Barthel Index
    - Burden (of caregiving) Interview (BI)
    - Disability
    - Dizziness Handicap Inventory (DHI)
    - Functional Status Health
    - Incontinence Impact Questionnaire (IIQ) - Long Form
    - Instrumental Activities of Daily Living
    - Iowa Fatigue Scale (IFS)
    - Patient Health Questionnaire (PHQ-9)
    - Propensity to Seek Health Care
    - Psychiatric Impairment Scale
    - Toomey Functional Impairment Scale
  - Nutrition
    - Nutrition (General)
    - Nutrition Initiative Checklist Modified
    - Rate Your Plate
  - Periodic Screening - Adults
    - Adult Examinations
      - Established Patients
        General Medical Exam Under 65 - Limited
        Gynecology Exam
        Interval Exam
        Oral Contraceptives
        Review of Systems - 6 Month Interval
        Travel Medicine
      - New Patients
        General Medical Exam - Complete - (approx 237 questions)
        General Medical Exam - Comprehensive - (approx 78 questions)
        New Patient
        Well Exam for Women 40-64 - Brief
        Well Exam for Women 40-64 - Comprehensive
    - Geriatric Examinations
      - Established Patients
        General Medical Exam Over 65 - Limited Interview
        Travel Medicine
      - New Patients
        General Medical Exam Over 65 - Comprehensive Interview
    - Review of Systems
      - Review of Systems (approx. 43 questions)
      - Review of Systems (approx. 75 questions)
      - Review of Systems - 1 Month Interval
      - Review of Systems - 2 Month Interval (Compared to Last Visit)
      - Review of Systems - 6 Month Interval
      - Review of Systems - Anesthesia
      - Review of Systems - Bariatrics
      - Review of Systems - Current Illness
      - Review of Systems - Dental Disease
      - Review of Systems - Geriatric (over 65 years of age)
      - Review of Systems - Hematology
      - Review of Systems - Infectious Disease
      - Review of Systems - Middle Aged Women
      - Review of Systems - Neurosurgery
      - Review of Systems - Obesity
      - Review of Systems - Obstetrics
      - Review of Systems - Ophthalmology
      - Review of Systems - Oral Contraceptives
      - Review of Systems - Prison
      - Review of Systems - Rheumatology
      - Review of Systems - Surgical
      - Review of Systems - Urogynecology
      - Review of Systems - Urology
  - Periodic Screening - Pediatrics
    - 0 to 12 Month Old Well Child Examinations
      - 12 month old well check-up
      - 2 month old well check-up
      - 2 week old well check-up
      - 4 month old well check-up
      - 6 month old well check-up
      - 9 month old well check-up
      - Newborn Check-up
    - 13 Months to 3 Year Old Well Child Examinations
      - 15 month old well check-up
      - 18 month old well check-up
      - 2 year old well check-up
      - 3 year old well check-up
    - 4 to 7 Year Old Well Child Examinations
      - 4 year old check-up
      - 5 year old check-up
      - 6 year old check-up
      - 7 year old check-up
    - 8 to 12 Year Old Well Child Examinations
      - 10 to 11 Year Old Checkup - Adult Form
      - 10 to 11 Year Old Checkup - Child Form
      - 12 year old check-up
      - 8 to 9 Year Old Checkup - Adult Form
      - 8 to 9 Year Old Checkup - Child Form
    - Adolescent Examinations
      - 12 year old well exam
      - Adolescent (12-18) Exam
      - Pre-Participation Sports Exam
  - Prevention
    - Counseling
      - Alcohol Prevention
      - Alcoholism in Family Member
      - Aspirin for Cardiovascular Disease Prevention
      - Auto Safety
      - Bike Safety
      - Dental Health
      - Exercise Scale
      - Firearm Safety
      - Folic Acid for Neural Tube Defect Prevention
      - Home Fire Safety
      - Substance Abuse Prevention
    - Immunizations
      - Influenza Vaccine
        Influenza Prophylaxis
        Influenza Vaccination
        Influenza Vaccine - Screening Criteria
      - Hemophilus Immunization
      - Hepatitis A Immunization
      - Hepatitis B Immunization
      - Herpes Zoster Vaccine
      - Human Papilloma Virus Immunization
      - Meningococcus Immunization
      - Mumps Vaccine
      - Pertusis Vaccine
      - Pneumonia Vaccine
      - Polio Vaccine
      - Rubella Vaccine
      - Rubeola Vaccine
      - Tetanus Immunization
      - Varicella Vaccine
    - Procedures
      - Abdominal Aortic Aneurysm
      - Bone Density
      - Cholesterol Screen
      - Colonoscopy Screen for Cancer
      - Digital Rectal Exam
      - Eye Exam for Glaucoma
      - Fecal Occult Blood
      - Glucose Screen
      - Hemoglobin Screen
      - Mammogram
      - Papanicolaou Smear
      - Proctosigmoidoscopy Screen for Cancer
      - Prostatic Specific Antigen (PSA)
      - Sigmoidoscopy Screen for Cancer
    - US Preventive Services Task Force
      - USPSTF A recommendations
      - USPSTF B recommendations
    - Alcoholism in Family Member
    - Breast Cancer (Mammogram)
    - Cervical Cancer (PAP)
    - Demographics Check
    - Exercise
    - Exercise Scale
    - Female Contraceptive
    - Health Evaluation Assessment Review (Military)
    - Lead
    - Medication History
    - Obesity Prevention
    - Partner Violence Screen
    - Past Medical History Allergy
    - Pregnancy Screening
    - Prevention (General)
    - Prevention for Children Under 12
    - Prostate Cancer (PSA / DRE)
    - Skin Cancer Prevention
    - Tobacco Prevention
    - Travel Medicine
    - Women Abuse Screening Tool (WAST)
  - Risk Inventories
    - BRCA Survey
    - CAGE Alcohol Screen
    - CAGE-A Drug / Alcohol Screen
    - CRAFFT Adolescent Substance Abuse Screening Test
    - Drug Use Inventory
    - Fagerstrom Nicotine Dependency Scale
    - Health Habits
    - Health Maintenance / Prevention Screen
    - Hooked on Nicotine Checklist (HONC)
    - Lead Screening
    - Michigan Alcohol Screening Test (MAST)
    - Nicotine Dependency
    - Occupational Hazard
    - Prevention Screen for Parents of Children Under 12
  - Travel Medicine
- Scales by Name
  - Aberdeen Dyspepsia Questionnaire
  - Aberdeen Varicose Veins Scale
  - Activities of Daily Living (Complete)
  - Alcohol Use Disorder Identification Test (AUDIT)
  - American Pain Society Guidelines for the Treatment of Pain
  - Adult ADHD Self-Report Scale (ASRS)
  - American Urological Association Benign Prostatic Hypertrophy Scale (AUA)
  - Androgen Deficiency in the Aging Male
  - ASPRS Plastic Surgery Outcomes Questionnaire
  - Asthma Control Test (ACT)
  - Barsky Palpitations Screening Instrument
  - Barthel Index
  - Bernreuter Agoraphobia Scale
  - Beta Blocker Pre-Op Assessment Tool
  - Binge Eating Scale (BES)
  - Bowel Problems Impact Scale
  - Brief Fatigue Inventory (BFI)
  - Brief Sexual Function Inventory (BSFI)
  - Burden (of Caregiving) Interview (BI)
  - CAGE Alcohol Screen
  - CAGE-A Drug / Alcohol Screen
  - Carpal Tunnel Syndrome Self Assessment
  - Carroll Depression
  - Center for Epidemiologic Studies Depression Scale (CES-D)
  - Children of Alcoholics Screening Test (CAST)
  - Chronic Prostatitis Symptom Index
  - Cincinnati Knee Rating System
  - Constipation Scoring System
  - CRAFFT Adolescent Substance Abuse Screening Test
  - Defecatory Dysfunction Scale
  - Dizziness Handicap Inventory (DHI)
  - Drug Abuse Screening Test - 10 (DAST-10)
  - Drug Abuse Screening Test - 20 (DAST-20)
  - Drug Usage Symptom Inventory (DUSI)
  - Duke Pelvic Floor Distress Inventory
  - Dysmenorrhea Disability Assessment Scale
  - Dysparunia Scale
  - EAT-26 (Anorexia Scale)
  - Edinburgh Postnatal Depression Scale
  - Epworth Sleepiness Scale
  - Erectile Function Index
  - Exercise Scale
  - Fagerstrom Nicotine Tolerance Scale
  - Fatigue Severity Scale
  - Fecal Incontinence Bother Scale
  - Fibromyalgia Impact Questionnaire
  - Fibromyalgia Rapid Screening Test
  - General Practice Assessment Questionnaire
  - Geriatric Depression Scale (GDS)
  - Graduated Apnea Screening Protocol (GASP)
  - Hamilton Anxiety Rating Scale (HAM-A)
  - Headache Diagnostic Scale
  - Headache Impact Test (HIT)
  - Health Assessment Questionnaire (HAQ)
  - Health Evaluation Assessment Review (Military)
  - Hearing Handicap Inventory for Adult and Elderly
  - Hemorrhoids Bother Scale
  - Hip Disability and Osteoarthritis Outcome Score
  - HITS Tool for Intimate Partner Violence Screening
  - Holmes Rahe Stress
  - Hooked on Nicotine Checklist (HONC)
  - Hospital Anxiety Depression Scale (HADS)
  - Hvidovre Heart Failure Scale
  - Impact of Weight on Physical Functions
  - Incontinence Impact Questionnaire - Long Form
  - Incontinence Impact Questionnaire - Short Form
  - Inflammatory Bowel Syndrome IMPACT III
  - Iowa Fatigue Scale (IFS)
  - Latex Sensitivity Questionnaire
  - Mankowski Pain Scale
  - Medical Research Council Dyspnea Scale (MRC)
  - Mental Health Inventory-5
  - Mental Health Screen Form III
  - Michigan Alcohol Screening Test (MAST)
  - Michigan Neuropathy Screening Instrument
  - Migraine Disability Assessment Scale (MIDAS)
  - Migraine Headache Rapid Assessment Tool
  - Migraine Treatment Optimization Questionnaire (MTOQ) - 5
  - Modified Checklist for Autism in Toddlers (M-CHAT)
  - Montgomery / Asberg Depression Rating Scale (MADRS)
  - Mood Disorder Questionnaire for Bipolar Disorder (MDQ)
  - Nausea Questionnaire
  - Neck Disability Index
  - Nicotine Dependency
  - Nihira Baltimore Urologynecology Group Survey (NBUGS)
  - Nutrition Initiative Checklist Modified
  - Osteoporosis Risk Assessment
  - Oswestry Low Back Pain Disability Questionnaire
  - Ottawa Ankle Scale
  - Overactive Bladder - Validated 8-Question Screener
  - Oxford Shoulder Score
  - Pain Disability Assessment Scale
  - Patient Comfort Assessment Guide for Pain Management
  - Patient Health Questionnaire (PHQ-9)
  - Pediatric Symptom Checklist - 4 to 5 Year Old - Parent Version
  - Pediatric Symptom Checklist - 6 to 16 Year Old - Parent Version
  - Pediatric Symptom Checklist - 6 to 16 Year Old - Youth Version
  - Pelvic Pain Disability Assessment Scale
  - Problem Areas in Diabetes (PAID)
  - Propensity to Seek Health Care
  - Psychiatric Impairment Scale
  - Rate Your Plate
  - SCOFF (Anorexia Screen)
  - Screener and Opiod Assessment for Patients in Pain - 14 (SOAPP-14)
  - Screener and Opiod Assessment for Patients in Pain - 24 (SOAPP-24)
  - Screener and Opiod Assessment for Patients in Pain - 5 (SOAPP-5)
  - Sexual Health Inventory of Men (SHIM)
  - Single Question Depression Screen
  - Sino-Nasal Outcomes Test
  - Social Phobia Inventory (SPIN)
  - South Oaks Gambling Screen (SOGS)
  - Spirituality Scale
  - St. George Respiratory Questionnaire
  - Tegner Lysholm Knee Scoring Scale
  - Test for Respiratory and Asthma Control in Kids
  - Three-Factor Eating Questionnaire
  - Toomey Functional Impairment Scale
  - Total Hip Replacement Questionnaire
  - Two Question Depression Screen
  - Wells Score for Deep Venous Thrombosis
  - Women Abuse Screening Tool
  - Yale-Brown Obsessive Compulsive Scale (YBOCS)
  - Zung Anxiety
  - Zung Depression
- Specialist Questionnaires
  - Allergy / Immunonology
    - Animals
    - Asthma Control Test (ACT)
    - Foods / Tobacco
    - General - Long
    - General - Short
    - Habitat / Environment
    - Home Allergies
    - Inhaled Chemicals or Cosmetics
    - Medications
    - Plants
  - Anesthesia
    - American Pain Society Guidelines for the Treatment of Pain
    - Beta Blocker Pre-Op Assessment Tool
    - Biopsy, Liver
    - Biopsy, Prostate
    - Biopsy, Skin
    - Mankowski Pain Scale
    - Patient Comfort Assessment Guide for Pain Management
    - Pre-operative Exam
    - Wells Score for Deep Venous Thrombosis
  - Bariatrics
    - Workup of Obese Patient
      - Bariatric New Patient
      - Beta Blocker Pre-Op Assessment Tool
      - Personal / Family History
      - Pre-operative Exam
      - Review of Systems (approx. 43 questions)
      - Review of Systems (approx. 75 questions)
      - Review of Systems - Anesthesia
      - Review of Systems - Bariatrics
    - Beck Depression
    - Binge Eating Scale (BES)
    - Hospital Anxiety Depression Scale (HADS)
    - Impact of Weight on Physical Functions
    - Rate Your Plate
    - Three-Factor Eating Questionnaire
  - Breast Surgery
    - Workup of Breast Surgery Patient
      - BRCA Survey
      - New Patient Evaluation - Breast Surgery
      - Pre-anesthestic Medical Exam
      - Pre-op Biopsy Exam
      - Review of Systems - Breast Surgery
    - Abnormal Breast Ultrasound
    - Abnormal Mammogram
    - Breast Discharge
    - Breast Lump
    - Breast Pain
  - Cardiology
    - Workup of Cardiac Patient
      - Cardiovascular (General)
    - Aberdeen Dyspepsia Questionnaire
    - Angina New Onset
    - Angina Follow-up
    - Anticoagulant (Coumadin) Management
    - Atherosclerosis
    - Beta Blocker Pre-Op Assessment Tool
    - Cardiovascular (General)
    - Chest Pain
    - Congestive Heart Failure Follow-up
    - Congestive Heart Failure Symptoms
    - Dyspnea (Shortness of Breath)
    - Edema (Swelling)
    - Hypertension
    - Palpitations
    - Syncope
    - Wells Score for Deep Venous Thrombosis
  - Dentistry
    - Workup of New Patient
      - University of Southern California Dental School (approx. 200 questions)
      - University of Southern California Dental School (approx. 500 questions)
    - Dental Problem
    - Orofacial Problems
    - Review of Systems - Dental Disease
    - Toothache
  - Dermatology
    - Acne
    - Biopsy
    - Biopsy, Skin
    - Cold Sore
    - Cosmetic Dermatology
    - Dermal Filler and Botox Consult
    - Dry Skin Bother Scale
    - Eczema
    - Foot Odor
    - Frostbite
    - Hair Loss
    - Hives (Urticaria)
    - Lump / Mass / Growth
    - Hair Problems
    - Itching
    - Nail Biting
    - Nail Problems
    - Onychomycosis (Toenail Fungus)
    - Rosacea
    - Skin (General)
    - Skin Rash
    - Unwanted Hair
    - Urticaria (hives)
    - Vitiligo
    - Warts
    - Wrinkles
  - Ear / Nose / Mouth / Throat (Otolaryngology)
    - Allergy Symptoms
    - Cold / Flu
    - Dental Problem
    - Dizziness Handicap Inventory (DHI)
    - Ear / Nose / Mouth / Throat (General)
    - Earache - Long
    - Earache - Medium
    - Earache - Short
    - Epworth Sleepiness Scale
    - Facial Pain
    - Hearing Handicap Inventory for Adult and Elderly
    - Lump / Mass / Growth
    - Motion Sickness
    - Mouth Ulcers
    - Pharyngitis
    - Rhinitis
    - Sino-Nasal Outcomes Test
    - Sinusitis
    - Sleep Apnea / Hyponea Syndrome (SAHS)
    - Snoring
    - Sore Throat
    - Upper Respiratory Infection (URI)
  - Endocrinology
    - Workup of the Endocrinology Patient
      - Endocrine Review
    - Androgen Deficiency in the Aging Male
    - Diabetes
    - Diabetes, Problem Areas in Diabetes (PAID)
    - Dyslipidemia (Abnormal blood fats)
    - Estrogen Deficiency
    - Fever
    - Osteoporosis
  - Gastroenterology
    - Eating Disorders
      - Binge Eating Scale (BES)
      - EAT-26 (Anorexia Scale)
      - Impact of Weight on Physical Functions
      - SCOFF (Anorexia Screen)
      - Three-Factor Eating Questionnaire
    - Special Purpose Interviews
      - Biopsy, Liver
      - Pre-endoscopy History
    - Workup of a Gastroenterology Patient
      - Biopsy, Liver
      - Endoscopy Work up
      - Gastroenterology Review of Systems
      - Gastrointestinal (General)
    - Abdominal Pain
    - Aberdeen Dyspepsia Questionnaire
    - Abnormal Liver Enzyme Elevation
    - Belching / Bloating / Gas
    - Bowel Problem
    - Bowel Problems Impact Scale
    - Constipation
    - Constipation Scoring System
    - Defecatory Dysfunction Scale
    - Diarrhea
    - Dysphagia (Trouble swallowing)
    - Fecal Incontinence
    - Fecal Incontinence Bother Scale
    - Gastroesophageal Reflux (GERD)
    - Hemorrhoids Bother Scale
    - Indigestion
    - Inflammatory Bowel Syndrome IMPACT III
    - Jaundice
    - Liver Disease
    - Nausea or Vomiting
    - Nausea Questionnaire
    - Rectal Bleeding
    - Rectal Problem
    - Stomach Problem
  - Geriatrics
    - Activities for Daily Living
    - Anticoagulant (Coumadin) Management
    - Benign Prostatic Hypertrophy (AUA scale)
    - Burden (of caregiving) Interview (BI)
    - Erectile Function Index
    - General Medical Examination (Established patient)
    - General Medical Examination (New patient)
    - Impotence
    - Nursing Home ADL
    - Nutritional Checklist Modified
    - Wells Score for Deep Venous Thrombosis
  - Gynecology
    - Abnormal Pap
    - Amenorrhea Unspecified
    - BRCA Survey
    - Breast Pain
    - Change in Menstrual Periods
    - Duke Pelvic Floor Distress Inventory
    - Dysfunctional Uterine Bleeding
    - Dysmenorrhea
    - Dysparunia Scale
    - Dysmenorrhea Disability Assessment Scale
    - Edinburgh Postnatal Depression Scale
    - Gynecology (General)
    - Gynecology Exam
    - Gynecology Screen
    - Incontinence
    - Incontinence Impact Questionnaire
    - Incontinence Impact Questionnaire (IIQ) - Long Form
    - Menopause
    - Missed Period
    - Multiple Gynecology Problems
    - Nihira Baltimore Urologynecology Group Survey (NBUGS)
    - Oral Contraceptives
    - Osteoporosis
    - Osteoporosis Risk Assessment
    - Pelvic Floor Disorders
    - Pelvic Pain
    - Pelvic Pain Disability Assessment Scale
    - Preconception Screening
    - Primary Amenorrhea
    - Secondary Amenorrhea
    - Sex Drive Decreased
    - Urinary Hesitancy
    - Urinary Incontinence
    - Vaginal Bleeding
    - Vaginitis
    - Voiding Dysfunction
    - Voiding Irritation
  - Hematology
    - Abnormal Bleeding
    - Abnormal Bleeding Follow-up
    - Anticoagulant (Coumadin) Management
    - Bleeding Tendency
    - Review of Systems - Hematology
  - Internal Medicine
    - Headache
      - Cluster Headache
      - Headache 1 (Questions: AVG-24 MEAN-24)
      - Headache 2 (Questions: AVG-44 MEAN-39)
      - Headache 3 (Questions: AVG-50 MEAN-41)
      - Headache 4 (Questions: AVG-64 MEAN-48)
      - Headache 5 (Questions: AVG-90 MEAN-89)
      - Headache Diagnostic Scale
      - Headache Impact Test (HIT)
      - Migraine Disability Assessment Scale (MIDAS)
      - Migraine Headache
      - Migraine Headache Rapid Assessment Tool
      - Migraine Treatment Optimization Questionnaire (MTOQ) - 5
      - Tension Headache
    - Workup of Internal Medicine Patient
      - Annual examination
    - Abnormal Blood Fats Internal Medicine
    - Abnormal Liver Enzyme Elevation
    - Angina (Heart Pain) Internal Medicine
    - Anticoagulant (Coumadin) Management
    - Arthritis Internal Medicine
    - Chronic Renal Failure
    - Congestive Heart Failure Internal Medicine
    - Constipation Internal Medicine
    - Depression Follow-up Established Patient
    - Diabetes Internal Medicine
    - Diarrhea or Nausea or Vomiting
    - Elevated Cholesterol Internal Medicine
    - Fatigue, Weakness, or Lethargy
    - Hypertension Internal Medicine
    - Joint Pain Internal Medicine
    - Lab Test Follow-up Internal Medicine
    - Limb Pain or Sprain or Strain
    - Medication Follow-up Internal Medicine
    - Narcotics Addiction
    - Oral Contraceptive Management
    - Reflux (GERD) Internal Medicine
    - Thyroid Problem Internal Medicine
    - Upper Respiratory Infection (URI) - Long
    - USPSTF A recommendations
    - USPSTF B recommendations
    - Weak, Tired, or Dizzy
    - Wells Score for Deep Venous Thrombosis
  - Military
    - Health Evaluation Assessment Review (Military)
  - Nephrology
    - Workup of Renal Patient
    - Chronic Renal Failure
    - Hematuria (Blood in urine)
    - Hypertension
  - Neurology
    - Autonomic Symptoms
      - Autonomic Nervous System
    - Dizziness, Weakness, and Fatigue
      - Brief Fatigue Inventory (BFI)
      - Dizziness Handicap Inventory (DHI)
      - Dizziness or Giddiness
      - Dizziness or Lightheadedness
      - Dizziness or Vertigo
      - Dizziness or Weakness
      - Fatigue Severity Scale
      - Fibromyalgia Impact Questionnaire
      - Fibromyalgia Rapid Screening Test
      - Iowa Fatigue Scale (IFS)
    - Headache
      - Cluster Headache
      - Headache 1 (Questions: AVG-24 MEAN-24)
      - Headache 2 (Questions: AVG-44 MEAN-39)
      - Headache 2 (Questions: AVG-44 MEAN-39)
      - Headache 3 (Questions: AVG-50 MEAN-41)
      - Headache 5 (Questions: AVG-90 MEAN-89)
      - Headache Diagnostic Scale
      - Headache Impact Test (HIT)
      - Migraine Disability Assessment Scale (MIDAS)
      - Migraine Headache
      - Migraine Headache Rapid Assessment Tool
      - Migraine Treatment Optimization Questionnaire (MTOQ) - 5
      - Tension Headache
      - Wilkinson Medical Clinic Headache Questionnaire
    - Neuropathy
      - Michigan Neuropathy Screening Instrument
      - Thalidomide related conditions
    - Neuropsychiatric Measures
      - Adult ADHD Self-Report Scale (ASRS)
      - Hospital Anxiety and Depression Scale (HADS)
      - Mood Disorder Questionnaire for Bipolar Disorder (MDQ)
      - Patient Health Questionnaire (PHQ-9)
      - Single Question Depression Screen
      - Two Question Depression Screen
      - Zung Depression Scale
    - Pain Management
      - American Pain Society Guidelines for the Treatment of Pain
      - Mankowski Pain Scale
      - Patient Comfort Assessment Guide for Pain Management
    - Seizures and Syncope
      - Loss of Consciousness
      - Loss of Vision
    - Workup of Neurology Patient
      - New Patient Evaluation - Neurology
      - Review of Systems - Neurology
      - Review of Systems for Neurosurgeons
  - Neurosurgery
    - Workup of Neurosurgery Patient
      - Beta Blocker Pre-Op Assessment Tool
      - New Patient Evaluation - Neurosurgery
      - Pre-anesthesia Work-up
      - Review of Systems - Neurosurgery
    - Back Pain (General)
    - Back Pain Follow-up (General)
    - Michigan Neuropathy Screening Instrument
    - Pre-operative Exam
  - Obstetrics
    - Edinburgh Postnatal Depression Scale
    - First Obstetrical Visit
    - Follow-up Obstetrical Visit
    - Gynecology General Review of Systems
    - HITS Tool for Intimate Partner Violence Screening
    - Obstetrical Medical History
    - Obstetrical Family History
    - Obstetrical Stress
    - Obstetrical HIV Risks
    - Obstetrical Genetic History
    - Obstetrical Personal Habits
    - Obstetrical Review of Systems
    - Obstetrical Preferences for Delivery
    - Past Medical History - Version Cedar Rapids
    - Past Medical History - Version Hollister
    - Past Pregnancies
    - Post Partum Check-up
    - Preconception Screening
  - Oncology
    - Workup of Cancer Patient
      - Biopsy, Liver
      - Oncology Follow up Established Patient
      - Oncology New Patient
    - National Comprehensive Cancer Network Evaluation
  - Ophthalmology
    - Refraction
      - Contacts
      - General Evaluation
      - Glasses - Evaluation
      - Glasses - Preference
    - Workup of an Ophthalmological Patient
      - New Patient Work-up - Ophthalmology
      - Past Medical History for Ophthalmology
      - Review of Systems - Ophthalmology
    - Double Vision
    - Glaucoma
    - Vision Loss
  - Orthopedics
    - Arthritis
      - Arthritis General Follow-up
      - Gout
      - Osteoarthritis
      - Rheumatoid Arthritis
    - Back Pain
      - Back Pain (General)
      - Lower Back Pain
      - Middle Back Pain
      - Neck Disability Index
      - Oswestry Low Back Pain Disability Questionnaire
      - Upper Back Pain
    - Degenerative Diseases
      - Degenerative Disease General Follow-up
      - Osteoporosis
      - Osteoporosis Risk
      - Osteoarthritis
    - Injury
      - Altercation (Fight)
      - Altercation (Fight)
      - Animal Bite
      - Bruise
      - Burn
      - Digital - Toe
      - Head Injury
      - Injury (General)
      - Insect Sting
      - Knee Pain
      - Motor Vehicle Accident
      - Multiple Injuries
      - Repetitive Use Injury to Wrist
      - Work Related Injury
    - Joint Pain
      - Arm Pain
      - Carpal Tunnel Syndrome
      - Chest Pain
      - Cincinnati Knee Rating System
      - Gout
      - Hip Disability and Osteoarthritis Outcome Score
      - Hip Pain
      - Jaw Pain
      - Joint Pain (General)
      - Joint Pain Follow-up
      - Joint Pain, Swelling, or Stiffness Localization
      - Knee Pain
      - Leg Pain
      - Neck Pain
      - Oxford Shoulder Score
      - Shoulder Pain
      - Tegner Lysholm Knee Scoring Scale
      - Temporomandibular joint pain
      - Total Hip Replacement Questionnaire
      - Wrist Pain
    - Pain
      - American Pain Society Guidelines for the Treatment of Pain
      - Pain Disability Assessment Scale
      - Patient Comfort Assessment Guide for Pain Management
    - Workup of Orthopedic Patient
      - Beta Blocker Pre-Op Assessment Tool
      - Musculoskeletal (General)
      - Pre-operative Exam
      - Pre-operative Exam -Texas Orthopedic Surgery Clinic
      - Review of Systems - Rheumatology
      - Wells Score for Deep Venous Thrombosis
  - Pain Management
    - Workup of Patient with Pain
      - Current Pain
      - Interventional Pain - Established Patient
      - Interventional Pain - New Patient
      - Pain - Follow up Established Patient
      - Pain - New Patient
      - Review of Systems for Pain Patient
    - American Pain Society Guidelines for the Treatment of Pain
    - Interventional Pain
    - Mankowski Pain Scale
    - Narcotics Addiction
    - Neck Disability Index
    - Opioid Assessment for Patients in Pain Long
    - Opioid Assessment for Patients in Pain Medium
    - Opioid Assessment for Patients in Pain Short
    - Oswestry Low Back Pain Scale
    - Pain Disability Assessment Scale
    - Patient Comfort Assessment Guide for Pain Management
    - Screener and Opiod Assessment for Patients in Pain - 14 (SOAPP-14)
    - Screener and Opiod Assessment for Patients in Pain - 24 (SOAPP-24)
    - Screener and Opiod Assessment for Patients in Pain - 5 (SOAPP-5)
  - Pediatrics
    - Brief Pediatric Screenings
      - 2 Month Old Checkup
      - 4 Month Old Checkup
      - 6 Month Old Checkup
      - 9 Month Old Checkup
      - 12 Month Old Checkup
      - 15 Month Old Checkup
      - 18 Month Old Checkup
      - 2 Year Old Checkup
      - 3 Year Old Checkup
      - 4 Year Old Checkup
    - Comprehensive Pediatric Screenings
      - 2 Week Old Checkup
      - 2 Month Old Checkup
      - 4 Month Old Checkup
      - 6 Month Old Checkup
      - 9 Month Old Checkup
      - 12 Month Old Checkup
      - 15 Month Old Checkup
      - 18 Month Old Checkup
      - 2 Year Old Checkup
      - 3 Year Old Checkup
      - 4 to 5 Year Old Checkup
      - 6 to 7 Year Old Checkup
      - 8 to 9 Year Old - Adult Form
      - 8 to 9 Year Old - Child Form
      - 10 to 11 Year Old - Adult Form
      - 10 to 11 Year Old - Child Form
    - Symptoms
      - Earache
        Earache - Long
        Earache - Medium
        Earache - Short
      - Fever
        Fever in Adolescent
        Fever in child
      - Cough in child
    - Workup of Adolescent Patient
      - Past Medical History (Pregnancy, Labor & Delivery, Neonatal Period)
        Labor and Delivery History
        Pediatric Antenatal History
        Pediatric Neonatal Period History
      - Adolescent Medical Exam
      - Teenager Questionnaire
    - Workup of Pediatric Patient
      - Past Medical History (Pregnancy, Labor & Delivery, Neonatal Period)
        Labor and Delivery History
        Pediatric Antenatal History
        Pediatric Neonatal Period History
      - Pediatric Past Medical History (under 9)
      - Prevention Screen for Parents of Children Under 12
    - Asthma Control Test (ACT) - Under 12
    - Center for Epidemiologic Studies Depression Scale (CES-D)
    - Children of Alcoholic Parents Scale
    - CRAFFT Adolescent Substance Abuse Screening Test
    - Drug Usage Symptom Inventory (DUSI)
    - EAT-26 (Anorexia Scale)
    - Hooked on Nicotine Checklist (HONC)
    - Inflammatory Bowel Syndrome IMPACT III
    - Intrauterine / Neonatal History
    - Lead Screening
    - Modified Checklist for Autism in Toddlers (M-CHAT)
    - Pediatric Symptom Checklist (PSC)
    - Pediatric Symptom Checklist - 6 to 16 Year Old - Youth Version
    - Primary Amenorrhea
    - SCOFF (Anorexia Screen)
    - Sick Child
    - Test for Respiratory and Asthma Control in Kids
  - Physical Therapy
    - General Medical Physical Therapy
    - Knee Physical Therapy - Initial Visit
    - Knee Physical Therapy - Followup Visit
    - Neck Disability Index
    - Oswestry Low Back Pain Disability Questionnaire
  - Plastic Surgery
    - Workup of Plastic Surgery Patient
      - Preoperative visit
      - Review of Systems - Surgical
      - Surgical History
    - Abdominoplasty
    - ASPRS Plastic Surgery Outcomes Questionnaire
    - Biopsy, Skin
    - Blepharoplasty
    - Botox injection
    - Breast Implant
    - Breast Lift
    - Breast Reduction
    - Brow Lift
    - CO2 Laser Resurfacing
    - Dermal Filler
    - Excision Lesion
    - Facelift
    - Liposuction
    - Neck Lift
    - Pre-operative Exam
    - Rhinoplasty
    - Tissue Rearrangement
  - Psychiatry
    - Anxiety
      - Barsky Palpitations Screening Instrument
      - Bernreuter Agoraphobia
      - Hamilton Anxiety Rating Scale
      - Holmes Rahe Stress
      - Social Phobia Inventory (SPIN)
      - Zung Anxiety
    - Eating Disorders
      - Binge Eating Scale (BES)
      - EAT-26 (Anorexia Scale)
      - Impact of Weight on Physical Functions
      - SCOFF (Anorexia Screen)
      - Three-Factor Eating Questionnaire
    - Gambling Disorder
      - South Oaks Gambling Screen (SOGS)
    - General Psychological Evaluation
      - Mental Health Inventory-5
      - Mental Health Screen Form III
      - Post-Stress Syndrome
      - Psychiatric ROS
    - Mood Disorders
      - Carroll Depression
      - Center for Epidemiologic Studies Depression Scale (CES-D)
      - Hospital Anxiety Depression Scale (HADS)
      - Montgomery / Asberg Depression Rating Scale (MADRS)
      - Mood Disorder Questionnaire for Bipolar Disorder (MDQ)
      - Patient Health Questionnaire (PHQ-9)
      - Single Question Depression Screen
      - Two Question Depression Screen
      - Zung Depression
    - Patient Perceptions of Care
      - Propensity to Seek Health Care
      - Satisfaction Survey (Exit survey)
    - Physical Symptoms
      - Barsky Palpitations Screening Instrument
      - Brief Fatigue Inventory (BFI)
      - Fatigue
      - Iowa Fatigue Scale (IFS)
      - Nail Biting
      - Palpitations
      - Screener and Opiod Assessment for Patients in Pain - 14 (SOAPP-14)
      - Screener and Opiod Assessment for Patients in Pain - 24 (SOAPP-24)
      - Screener and Opiod Assessment for Patients in Pain - 5 (SOAPP-5)
    - Quality of Life Measures
      - Burden (of caregiving) Interview (BI)
      - Psychiatric Impairment Scale
    - Sexual Disorders
      - Brief Sexual Function Inventory (BSFI)
      - Sexual Health Inventory of Men (SHIM)
    - Sleep Disorders
      - Epworth Sleepiness Scale
    - Substance Use Disorders
      - Alcohol Use Disorder Identification Test (AUDIT)
      - CAGE Alcohol Screen
      - CAGE-A Drug / Alcohol Screen
      - CRAFFT Adolescent Substance Abuse Screening Test
      - Drug Abuse Screening Test - 10 (DAST-10)
      - Drug Abuse Screening Test - 20 (DAST-20)
      - Drug Usage Symptom Inventory (DUSI)
      - Fagerstrom Nicotine Tolerance Scale
      - Hooked on Nicotine Checklist (HONC)
      - Michigan Alcohol Screening Test (MAST)
      - Narcotics Addiction
      - Nicotine Dependency
    - Symptom Specific Disorders Usually Diagnosed in Childhood
      - Adult ADHD Self-Report Scale (ASRS)
      - Vanderbilt ADHD Scale Parent
      - Vanderbilt ADHD Scale Teacher
    - Workup of Psychiatric Patient
      - Alcohol and Drug Use Screen
      - Allergies for Psychiatry
      - Family History for Psychiatry
      - Medications (Past Psychiatric Meds)
      - Mental Health Screen Form III
      - Pain Assessment for Psychiatry
      - Psychiatric ROS
      - Social History for Psychiatry
      - Spirituality History
      - Tobacco Screen
  - Pulmonology
    - Sleep Disorder
      - CPAP Followup
      - Daytime Sleepiness (13 questions)
      - Daytime Sleepiness (23 questions)
      - Epworth Sleepiness Scale
      - Insomnia - Follow up
      - Insomnia - New Patient
      - Post-Sleep Study Questionnaire
      - Pre-Sleep Study Questionnaire
      - Sleep Center New Patient
      - Sleep Related Breathing Disorders
      - Sleep Related Movement Disorder
      - Sleep Related Parasomnias
      - Sleep-Wake Schedule
    - Asthma Control Test (ACT)
    - Asthma Modifying Factors
    - Chest Pain
    - COPD (Emphysema) Symptoms
    - Cough
    - Dyspnea (Shortness of breath)
    - Epworth Sleep Scale
    - Graduated Apnea Screening Protocol (GASP)
    - Medical Research Council Dyspnea Scale (MRC)
    - Snoring
    - St. George Respiratory Questionnaire
    - Upper Respiratory Infection (URI)
    - Wells Score for Deep Venous Thrombosis
    - Wheezing
  - Rheumatology
    - Arthritis
      - Arthritis General Follow-up
      - Gout
      - Osteoarthritis
      - Rheumatoid Arthritis
    - Back Pain
      - Back Pain (General)
      - Lower Back Pain
      - Middle Back Pain
      - Neck Disability Index
      - Oswestry Low Back Pain Disability Questionnaire
      - Upper Back Pain
    - Degenerative Diseases
      - Degenerative Disease General Follow-up
      - Osteoporosis
      - Osteoporosis Risk
    - Joint Pain
      - Arm Pain
      - Carpal Tunnel Syndrome
      - Chest Pain
      - Cincinnati Knee Rating System
      - Gout
      - Hip Disability and Osteoarthritis Outcome Score
      - Hip Pain
      - Jaw Pain
      - Joint Pain (General)
      - Joint Pain, Swelling, or Stiffness Localization
      - Knee Pain
      - Leg Pain
      - Neck Pain
      - Oxford Shoulder Score
      - Shoulder Pain
      - Tegner Lysholm Knee Scoring Scale
      - Temporomandibular joint pain
      - Total Hip Replacement Questionnaire
      - Wrist Pain
    - Pain (General)
      - American Pain Society Guidelines for the Treatment of Pain
      - Pain Disability Assessment Scale
      - Patient Comfort Guide for Pain Management
    - Workup of Rheumatology Patient
      - Activities of Daily Living for Rheumatology
      - Established Patient Evaluation - Rheumatology
      - Family History for Rheumatology
      - Health Assessment Questionnaire (HAQ)
      - Medications (Antirheumatics)
      - New Patient Evaluation - Rheumatology
      - Past Medical History for Rheumatology
      - Review of Systems for Rheumatology
      - Social History for Rheumatology
  - Urgent Care
    - Abdominal Pain
    - Allergic Rhinitis
    - Allergy Symptoms
    - Anxiety
    - Asthma
    - Back pain
    - Bronchitis
    - Chest Pain
    - Cold / Flu
    - Conjunctivitis
    - Cough
    - Dermatitis
    - Diabetes
    - Diarrhea
    - Dizziness
    - Ear infection
    - Ear Pain
    - Ear Problem
    - Eye Injury
    - Fatigue or Lethargy
    - Fever
    - Fracture
    - Headache
    - Herpes, genital
    - Hypertension
    - Influenza
    - Injury
    - Insect Bite
    - Joint Sprain
    - Laceration
    - Migraine Headache
    - Muscle Sprain
    - Open Wound
    - Pharyngitis
    - Rash, skin
    - Sinusitis
    - Sore Throat
    - Stomach Pain
    - StrepThroat
    - Upper Respiratory Infection (URI)
    - Urinary Tract Infection (UTI)
    - Vaccine
    - Vomiting
    - Wound
    - Wound Infection
  - Urogynecology
    - Incontinence
      - Fecal Incontinence
      - Incontinence (General)
      - Incontinence Impact Questionnaire - Long Form
      - Incontinence Impact Questionnaire - Short Form
      - Overactive Bladder - Validated 8-Question Screener
      - Urge Incontinence
      - Stress Incontinence
      - Unaware Incontinence
    - Bladder Problems Impact Scale
    - Fecal Incontinence
    - Genitourinary (General)
    - Genitourinary Followup
    - Herniation Problems Impact Scale
    - Herniation Symptoms
    - Incontinence Impact Questionnaire - Long Form
    - Incontinence Impact Questionnaire - Short Form
    - Irritative Voiding Symptoms
    - Interstitial Cystitis Symptoms
    - NBUGS - Review of Systems
    - NBUGS - ROS / PFSH
    - Nihira Baltimore Urogynecology Group Survey
    - Pelvic Floor Disorders
    - Pelvic Pain Disability Scale
    - Review of Systems
    - Sex Drive Decreased
    - Urinary Frequency Impact Scale
    - Urinary Hesitancy
    - Urinary Incontinence
    - Voiding Dysfunction
    - Voiding Irritation
  - Urology
    - Erectile Dysfunction
      - Brief Sexual Function Inventory (BSFI)
      - Erectile Dysfunction Comprehensive Work-up
      - Erectile Dysfunction Specific Work-up
      - Erectile Function Index
      - Sexual Health Inventory of Men (SHIM)
    - Impotence
      - Brief Sexual Function Inventory (BSFI)
      - Androgen Deficiency in the Aging Male
      - Erectile Dysfunction Comprehensive Work-up
    - Incontinence
      - Incontinence Impact Questionnaire (IIQ) - Long Form
      - Incontinence Impact Questionnaire (IIQ) - Short Form
      - Overactive Bladder - Validated 8-Question Screener
    - Workup of Urology Patient
      - Biopsy, Prostate
      - Genitourinary Followup
      - Genitourinary New Patient
      - Genitourinary Review of Systems
      - Review of Systems for Urologists
    - American Urological Association BPH Scale
    - Androgen Deficiency in the Aging Male
    - Benign Prostatic Hypertrophy (AUA scale)
    - Bladder Problems Impact Scale
    - Curvature of Penis
    - Difficulty Urinating
    - Frequent Urination (Polyuria)
    - Genital Sores
    - Hematuria
    - Herniation Problems Impact Scale
    - Herniation Symptoms
    - Interstitial Cystitis Symptoms
    - Irritative Voiding Symptoms
    - Kidney Disease
    - Kidney Stones
    - Orgasm Problems
    - Overactive Bladder - Validated 8-Question Screener
    - Pelvic Floor Disorders
    - Pelvic Pain Disability Scale
    - Penile Discharge
    - Priapism
    - Sex Drive Decreased
    - Sexual Function Problems
    - Stress Incontinence
    - Testicle Pain
    - Unaware Incontinence
    - Urethral Discharge
    - Urge Incontinence
    - Urinary Frequency Impact Scale
    - Urinary Hesitancy
    - Urinary Incontinence
    - Vasectomy
    - Voiding Dysfunction
    - Voiding Irritation