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The Health Questionnaire form

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Written by Sophia Dulai
Updated over a year ago

This Heath Questionaire (HQ) form will focus on your own health and wellbeing and whether there are any areas you need support with.

We need to have all the relevant information and a clear plan of action to help you if needed.

Instructions for Completing the HQ:

  1. Focus on your health and wellbeing: This HQ is designed to assess your own health status and identify any areas where you may need support. Please answer all questions honestly and thoroughly.

  2. Identify areas of concern: As you complete the form, feel free to note any areas where you may need support or assistance. You can use ticks or comments to highlight these areas on the side of the form.

  3. Annual updates: We will be sending this HQ form to you every year to ensure that we have the most up-to-date information about your health and well-being. This will help us monitor any changes over time and provide timely support if needed.

  4. Data protection: Please rest assured that all information provided in the HQ form will be handled following the Data Protection Act. Your privacy and confidentiality are of utmost importance to us.
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Completing this Health Questionnaire is an important step in ensuring that we have all the relevant information to support you effectively as a carer. Your health and well-being are important, and by providing us with accurate and up-to-date information, you empower us to create a clear plan of action to assist you if needed.

If you have any questions, please send an email.

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