Questionnaire for >60 Symptoms


  1. General
  2. Headache
  3. Pain
  4. Fever
  5. Vomiting
  6. Diarrhea
  7. Cough
  1. CardioVascular System
  2. Dyspnea
  3. Orthopnea
  4. Nocturnal Dyspnea
  5. Fatigue
  6. Palpitations
  7. High Blood Pressure
  8. Syncope
  9. Swelling-Legs
  1. Respiratory System
  2. Dyspnea
  3. Cough
  4. Sputum
  5. Hemoptysis
  6. Abnormal Chest Sounds
  7. Chest Pain
  1. Urinary Tract
  2. Hematuria
  3. Flank Pain
  4. Abdominal Pain
  5. Oliguria
  6. Polyuria
  7. Nocturia
  8. Urine Incontinence
  1. G.I.Tract
  2. Dysphagia
  3. Heartburn
  4. Odynophagia
  5. Flatulence
  6. Vomiting
  7. Constipation
  8. Abdominal Distension
  9. Weight Loss
  10. Hematemesis
  11. Abdominal Pain
  12. Diarrhea
  1. Psychiatric Assessment
  2. Mental Status Questionnaire
  3. Appearance Behavior
  4. Emotional State
  5. Behaviour
  6. Speech
  7. Anxiety
  8. Depression
  9. Delusions
  1. Musculo-Skeletal
  2. Myalgia
  3. Arthralgia
  4. Back Pain
  5. Low Back Pain
  6. Weakness
  1. Endocrine & Nutrition
  2. Polydipsia
  3. Polyuria
  4. Polyphagia
  5. Weight Loss
  6. Weight Gain
  7. Weakness
  8. Cold Intolerance
  9. Heat Intolerance
  10. Palpitations
  11. Muscle Cramps
  12. Impotence