Chapter 2 Personal and Family Health History

2.1 Background

The Personal and Family Health History Form collected information on:

  • Physical and Mental Health Assessment - list of any physical or mental conditions that may affect participant’s ability to lie on their back, sit for long periods of time, walk on a treadmill or participate in physical activities.
  • Activity restrictions
  • Diet restrictions
  • Pacemaker
  • Childhood illnesses
  • Mother - still living? age at time of death? cause of death?
  • Father - still living? age at time of death? cause of death?
  • Personal and Family Health History (parents, grandparents, siblings, children) for:
    • Anxiety or Depression
    • Emphysema
    • Asthma
    • Eye issues
    • Chest discomfort
    • Addictions
    • Alcoholism
    • Allergies (drugs, food, latex, seasonal)
    • Arthritis
    • Back problems (chronic pain, herniated discs, sciatica, scoliosis, whiplash)
    • Bladder, kidney problems, anemia
    • Bleeding
    • Cancer
    • Chicken pox
    • High cholesterol
    • CMV (Cytomeglovirus)
    • Depression
    • Diabetes
    • Digestive problems
    • Diphteria
    • Ear problems (ache, draining, hearing, itching)
    • Emphysema
    • Eye issues (eye bags, blur, far sighted, glaucoma, itching, lens problems, near sighted, prescription glasses, reading glasses, redness)
    • Genetic conditions
    • Gout
    • Head (headaches/migraines, dizziness, fainting, insomnia)
    • Heart disease
    • Hepatitis
    • Hernia
    • Herpes
    • High blood pressure
    • HIV
    • Hormonal issues
    • Immune problems
    • Intestinal issues
    • Kidney disease, infection
    • Low blood pressure
    • Lung issues (asthma, bronchitis, difficulty breathing, chest congestion, shortness of breath)
    • Measles
    • MONO
    • Mouth issues (canker sores, chronic coughing, Gagging, frequent need to clear throat, sore throat, hoarseness, loss of voice, swollen or discolored tongue, gums, lips, swallowing issues)
    • Mumps
    • Muscle issues (feeling of weakness or tiredness, pain or aches in joints, pain or aches in muscles, stiffness or limitation of movement, )
    • Nervousness
    • Neurological issues (confusion, poor comprehension, difficulty in making decisions, learning disability, poor concentration, poor memory, poor physical coordination, slurred speech, stuttering or stammering)
    • Osteoporosis
    • Overweight
    • Pneumonia
    • Polio
    • Psychological disorders
    • Reflux
    • Respiratory issues
    • Rheumatic fever
    • Hemorrhoids
    • Scarlett fever
    • Seizures
    • Sinus/upper respiratory tract infection
    • Skin issues (acne, eczema, flushing, hot flashes, hair loss, hives, rashes, dry skin, psoriasis)
    • Smallpox
    • STD
    • Stroke
    • Suicidal/suicide
    • Thyroid issues (hyper, hypo)
    • TMJ issues
    • Tuberculosis
    • Ulcer
    • Venereal disease
    • Weight loss
    • Weight gain
    • Whooping cough
    • Other conditions and details