Previsit questionnaire summary stats

Events score

Min=0, Max=24

Average response 10.68 Total # entries 247

Called your PCP office
Average response 0.59 Total # entries 247
0 = No 1 = Yes

Called a specialist office
Average response 0.48 Total # entries 247
0 = No 1 = Yes

Car accident
Average response 0.46 Total # entries 247
0 = No 1 = Yes

Death of a spouse
Average response 0.62 Total # entries 247
0 = No 1 = Yes

Death of other close relative
Average response 0.41 Total # entries 247
0 = No 1 = Yes

Death of a friend
Average response 0.45 Total # entries 247
0 = No 1 = Yes

Death of a pet
Average response 0.45 Total # entries 247
0 = No 1 = Yes

ER visit

Average response 0.42 Total # entries 247
0 = No 1 = Yes

Fall
Average response 0.43 Total # entries 247
0 = No 1 = Yes

Hospital stay
Average response 0.36 Total # entries 247
0 = No 1 = Yes

Moved
Average response 0.43 Total # entries 247
0 = No 1 = Yes

New device (cane, walker, wheelchair)
Average response 0.4 Total # entries 247
0 = No 1 = Yes

New non-prescription medication
Average response 0.41 Total # entries 247
0 = No 1 = Yes

New prescription medication
Average response 0.47 Total # entries 247
0 = No 1 = Yes

Outpatient rehab
Average response 0.43 Total # entries 247
0 = No 1 = Yes

PCP visit
Average response 0.43 Total # entries 247
0 = No 1 = Yes

Rehab stay
Average response 0.39 Total # entries 247
0 = No 1 = Yes

Specialist visit
Average response 0.47 Total # entries 247
0 = No 1 = Yes

Stopped driving
Average response 0.39 Total # entries 247
0 = No 1 = Yes

Stopped a medication on your own
Average response 0.11 Total # entries 47
0 = No 1 = Yes

Surgery – elective
Average response 0.39 Total # entries 247
0 = No 1 = Yes

Surgery – emergency
Average response 0.44 Total # entries 247
0 = No 1 = Yes

Test done (blood, xray)
Average response 0.49 Total # entries 247
0 = No 1 = Yes

Urgent care visit
Average response 0.42 Total # entries 246
0 = No 1 = Yes

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Issues score

Min=0, Max=78

Average response 30.09 Total # entries 247

Anxiety/stress

Average response 1.73 Total # entries 247
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Caring for someone else

Average response 1.25 Total # entries 247
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Chest pain or pressure
Average response 1.34 Total # entries 247
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Constipation
Average response 1.4 Total # entries 247
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Difficulty walking
Average response 1.32 Total # entries 247
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Dizziness
Average response 1.34 Total # entries 247
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Fear of death
Average response 1.45 Total # entries 11
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Fear of disability or being a burden
Average response 1.33 Total # entries 247
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Fear of falling
Average response 1.34 Total # entries 247
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Indigestion/nausea
Average response 1.27 Total # entries 247
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Loneliness/boredom
Average response 1.28 Total # entries 247
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Low energy
Average response 1.5 Total # entries 247
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Low mood
Average response 1.33 Total # entries 247
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Managing your health problems
Average response 1.19 Total # entries 247
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Managing your health problems
Average response 1.19 Total # entries 247
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Managing your medications
Average response 0.36 Total # entries 36
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Memory loss
Average response 1.34 Total # entries 247
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Overall health/quality of life
Average response 1.45 Total # entries 247
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Pain
Average response 1.34 Total # entries 247
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Poor appetite
Average response 1.25 Total # entries 247
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Poor sleep
Average response 1.39 Total # entries 247
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Sex life
Average response 0.39 Total # entries 36
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Shortness of breath
Average response 1.43 Total # entries 247
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Unsteadiness
Average response 1.32 Total # entries 247
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Urine leakage/incontinence
Average response 1.32 Total # entries 247
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Weight loss
Average response 1.4 Total # entries 247
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

Worries/regrets
Average response 1.45 Total # entries 11
0 = Not a problem 1 = Somewhat a problem, but tolerable 2 = Significant problem, but tolerable 3 = Intolerable

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