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Your List of Questions to Ask the Doctor

When you visit the doctor, it's good to ask questions! Here is a form that you can use to write down questions. 

Print and download the article here!

Para ver en español, haga clic aquíUpang tingnan sa tagalog, mag-click ditto

My List of Things to Ask the Doctor

Questions my team and I want to ask the doctor: 

  • _________________________________________________
  • _________________________________________________
  • _________________________________________________
  • _________________________________________________
  • _________________________________________________

 

Questions about my health I should always ask:

1. Do I need any of these tests?

High Cholesterol - Men and Women

Type 2 Diabetes - Men and Women

Colon Cancer - Men and Women

Breast Cancer - Women Only

Cervical Cancer - Women Only

Osteoporosis - Men and Women

Prostate Cancer - Men Only

Other: ___________________________

 

2. Do I need any of these shots?

Flu

Pneumonia

Whooping Cough

Tetanus

Shingles

Other: ___________________________

 

3. What can I do to stay healthy?

Get more exercise

Eat healthy foods

Quit Smoking

Other: ___________________________

Other: ___________________________

 

Last updated on Sun, 12/07/2014 - 19:55