VITAL SIGNS PRELIMINARY ASSESSMENT

1. Has your blood pressure been abnormal?
2. Do you experience palpitations?
3. Do you experience chest discomfort?
3. Do you experience chest discomfort?
4. Do you get short of breath?
5. Do you feel dizzy on standing?
6. Have you fainted recently?
7. Do you have swelling in limbs or face?
8. Do you experience frequent headaches?
9. Have you recorded fever recently?
10. Do you sweat excessively at rest?
11. Do you feel your heart racing?
12. Do you feel weak after mild activity?
13. Do you feel cold intolerance?
No 0 Mild 1 Severe 2 14. Do you feel heat intolerance?
15. Do you monitor vitals regularly?
16. Do you have irregular pulse?
17. Do you feel breathless lying flat?
18. Do you experience night sweats?
19. Have vitals worsened recently?
20. Have you needed urgent vitals check?
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