Also known as HHQ5.

5/5A Difference: Date added to Q6

• Page One:
  • Recent hospitalization, if there is any

• Page Two:
  • Recent cancer incidence, if there is any
  • Recent heart diseases, if there is any
  • Whether visited the primary care doctor in the last two years
  • Whether visited a specialist in the last two years
  • Whether visited an alternative medicine provider in the last two years
  • Whether having had a surgical procedure in the last two years
  • Whether having visited urgent care or ED in the last two years
  • Whether having had X-ray, MRI, or CAT scan in the last two years

• Page Three:
  • Religious believes and approach to life
  • Church attendance
  • Health insurance status
  • Presence of some chronic conditions

• Page Four:
  • Present body weight
  • Dietary patterns
  • Cancer treatment preferences if applicable
  • Discussing personal matters with someone

https://wiki.ahs2.org/hhf:start