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The use of a simple family history screening questionnaire (FHSQ) can help identify individuals who may require a more detailed assessment of their family history of cancer, heart disease or diabetes.1
This tool can be used as part of the patient’s assessment at their first visit to a practice. If patients are uncertain about their family history, they can be asked to discuss the FHSQ with their relatives prior to completing the questionnaire. For patients with low literacy, the FHSQ may need to be completed with the support of a healthcare professional.
A positive response to any question requires follow-up with a more detailed assessment of the family history. As family history can change it is recommended that the FHSQ be repeated at least every three years.
*Only first-degree and second-degree relatives need be considered in this screening questionnaire Reproduced with permission from Emery JD, Reid G, Prevost AT, Ravine D, Walter FM. Development and validation of a family history screening questionnaire in Australian primary care. Ann Fam Med 2014;12(3):241–49.
Appendix 13A - The 3 Incontinence Questions 3IQ (PDF 0.04 MB)
Appendix 2A - Family history screening questionnaire (PDF 0.03 MB)
Appendix 2B -Dutch Lipid Clinic Network Criteria for making a diagnosis of familial hypercholestrolaemia in adults (PDF 0.04 MB)
Appendix 3A - 'Red-flag' early intervention referral guide (PDF 0.37 MB)
Appendix 8A - Australian cardiovascular disease risk charts (PDF 0.47 MB)
Lifecycle charts (PDF 0.08 MB)
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