Personal Medical History Survey

Participant Surveys: Personal Medical History

For this survey, the following applies to all questions:

Original source question text
Not applicable

From which existing source was this question derived?
This question was developed specifically for use within the All of Us Research Program

Year of Original Source
Not applicable

Brief Description
Not applicable

URL
Not applicable

Heart and blood conditions: Has a doctor or health care provider ever told you that you have…? (select all that apply)

Lung conditions: Has a doctor or health care provider ever told you that you have or had any of the following respiratory conditions? (select all that apply)

Cancer Conditions: Has a doctor or health care provider ever told you that you have or had any of the following cancers? (select all that apply)

Digestive conditions: Has a doctor or health care provider ever told you that you have…? (select all that apply)

Hormone/endocrine conditions: Has a doctor or health care provider ever told you that you have…? (select all that apply)

Kidney conditions: Has a doctor or health care provider ever told you that you have…? (select all that apply)

Bone, joint and muscle conditions: Has a doctor or health care provider ever told you that you have…? (select all that apply)

Hearing and eye conditions: Has a doctor or health care provider ever told you that you have any of the following hearing or vision problems? (select all that apply)

Infectious diseases: Has a doctor or health care provider ever told you that you have…? (select all that apply)

Brain and nervous system conditions: Has a doctor or health care provider ever told you that you have…? (select all that apply)

Mental health and substance use conditions: Has a doctor or health care provider ever told you that you have…? (select all that apply)


Other: Has a doctor or health care provider ever told you that you have…? (select all that apply)

options and variations for each the questions above noted below:

Are you still seeing a doctor or health care provider for this condition?

About how old were you when you were first told you had this condition?

Are you currently prescribed medications and/or receiving treatment for this condition?