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Swanwood Partnership
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Patient Health Questionnaires

Questionnaires for patients to print and complete (only when asked by the Doctor or Nurse)

If the doctor/nurse has asked you to complete a health assessment questionnaire, please follow the link to the relevant health assessment questionnaire to print and complete.

Please take the completed health questionnaire to discuss with the doctor or nurse if you have been asked to do so with an appointment. If you have been advised to leave the completed form at the reception then please let the receptionist know.

PS: we do not expect you to complete any of these questionnaires if you have not been asked by a doctor, nurse of our admin team to fill these and the reception staff will not be able to take these questionnaires from you with out the knowledge of who asked you to complete these.

Adult ADHD Self-Report Scale Questionnaire (PDF, 81KB)

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Swanwood Partnership

Applewood Surgery, Wickford Health Centre, Market Avenue, Wickford, SS12 0AG

  • 01268 562444
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