Dr Z Self Evaluation Form Demonstration
These are examples of the types of questions you would answer:
Age
Gender:
male
Female
Sypmtom
Never
Occasionally
Frequently
Always
Nausea or vomiting
Rapid or pounding heartbeat
Rash or blisters in mouth
Oversensitive to criticism
Unsocial asocial antisocial behavior
Difficulty in making decisions
Hot flashes not associated with menopause
Constant feeling of hunger even after meals
I need coffee to really start my day
Feeling worse on damp days
