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Health
Symptom Pre-Assessment
Pre-assessment of symptoms with body area routing and severity capture before visiting the doctor.
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Symptom Pre-Assessment
1
Symptom Pre-Assessment
2
Patient name
3
Since when have you had the symptoms?
+ 5 more questions
Included questions
1
Symptom Pre-Assessment
intro2
Patient name
input3
Since when have you had the symptoms?
date-picker4
Which body area is affected?
buttons5
Which head/neck symptoms?
checkbox6
Which chest/abdomen symptoms?
checkbox7
How severe is the pain on a scale of 1–10?
scale8
Further details about your symptoms
textarea