MEDICAL HISTORY QUESTIONNAIRE
Thank you for showing an interest in our research unit.
This questionnaire helps us to understand your health and medicines. This tells us if you might be suitable for any studies at the moment, and how best we can help you if you come to see us.
Most of the questions just need a tick in the boxes marked 'YES' or 'NO'. Any details given will be treated as strictly confidential. Don't worry if you cannot answer some of the questions. We can go over the questionnaire if you come to the department.