Home All templates men healthcare surveys men health history form

Men Health History Form

The Men Health History Form is a questionnaire that asks men about their health history. It includes questions about family health history, personal health history, and health behaviors. The form can help men learn about their risk for certain health conditions and make informed decisions about their health.

2 minutes to complete

Eligibility

Men aged 18 and older are eligible to fill out this form.

Questions for Men Health History Form

Questions

What is your family health history?

The answer should be a text input.

What is your personal health history?

The answer should be a text input.

What are your health behaviors?

The answer should be a text input.

What is your risk for certain health conditions?

The answer should be a text input.

What are your health goals?

The answer should be a text input.

Forms Similar to Men Health History Form

Family Medical History Form
Personal Medical History Form
Health Risk Assessment Form
Health Survey Form

Here are some FAQs and additional information
on Men Health History Form

How often should I see a doctor for a check-up?

The frequency of doctor visits depends on your age, overall health, and risk factors for disease. In general, men over the age of 40 should see a doctor at least once a year for a physical exam. Men who are at higher risk for disease may need to see a doctor more often.

What types of screenings and tests should I have?

There are a number of screenings and tests that are recommended for men, depending on age and risk factors. These include screenings for cholesterol, blood pressure, colon cancer, and prostate cancer. Your doctor can help you determine which screenings and tests are right for you.

What are some common health problems that men face?

Some common health problems that men face include heart disease, cancer, stroke, and diabetes. Men can also experience mental health problems, such as anxiety and depression.

What can I do to stay healthy?

There are a number of things that men can do to stay healthy. These include eating a healthy diet, exercising regularly, and avoiding tobacco and excessive alcohol use.

Want to use this template?

Loved by people at home
and at work

“BlockSurvey is a simple, effective, and scalable tool for creating surveys for leadership and learning assessment. It's one of this year's best buying choices. Each month, it keeps improving and strives to serve its customers needs.”

Nelson Emilio

Personal Branding Strategist

“I use BlockSurvey to get feedback about all my activities and events. It is really easy to get started and create my first surveys! Then I could see how easy it was to share them. Now I am thinking to use BlockSurvey also within my creative process as an author in order to listen and engage with my audience, knowing that anonymity provides the most sincere and reliable answers.”

Georgina García-Mauriño

Author & Designer