Sample Health Care Paper on Human Development Questionnaire

Human Development Questionnaire



  1. What is your age? Were you born premature or with any health conditions?

Age is a factor in human development. Knowing the patient’s age is compulsory to determine the counseling strategies.


  1. What was your birth weight? What are your current height and weight?

Excess body weight is harmful to all health aspects. The question on weight will help the medical team determine the body mass index.


  1. What is your ethnic background?

Ethical background defines a human person. The question assures the medical team provides high-quality care for all races.

Human Development Questionnaire


  1. Which city and which neighborhood did you grow up in?

Having good health depends on a safe and hygienic residence (Hou, 2015). This question will help the medical team have a concrete background about the PatientPatient.

  1. How many schools have you attended and why?
  2. The number of schools can affect development depending on the answer a patient is likely to give. The medical team would wish to know the person they are dealing with and if it’s someone who can follow the rules or not. Who lived in the home with you where you were raised?


Human development is dependent on who raises a child. The medical team is interested in bringing up the PatientPatient, either by a mother or caregiver.

  1. What is your parent’s education level?

Development is related to the person’s literacy level in taking care of the child. The medical team is interested in the child’s upbringing and if they underwent developmental markers under qualified supervision.

  1. How would you classify your relationship with your parents?
    1. Great/Healthy
    2. Neutral
    3. Not Good/Unhealthy/Dysfunctional

Child development relies on the bond between them and the parent or caregiver. The experts would need this information to give a verdict on the state of the PatientPatient.

  1. What was the income range of the person/people who raised you?
    1. $0-$20,000/year
    2. $20,000-40,000/year
    3. $40,000-60,000/year
    4. $60,000-80,000/year
    5. More than $80,000/year

Well-financed human development runs smoothly, and the child grows healthy. The medical team will need this information to ascertain how a patient was raised, whether satisfactory or less satisfactory.

  1. Have you ever been abused (sexually, physically, or emotionally)?

Human abuse may negatively impact human development by inflicting injuries or distress. Information on abuse will allow the medical team to have information regarding the patient’s health history.


  1. What challenges have you had to overcome in your life? How do you think these challenges have impacted you?

Challenges affect human developmental stages either physically or emotionally. The medical team will need the information of this kind to trace ill-health records.

  1. What physical disabilities do you have?

Disabilities are physical obstacles to development. This information will help in tracing records.


  1. What mental health conditions have you been diagnosed with or feel you may have?

Health conditions are varied in human development (Lerner, 2018). The team may want to diagnose the PatientPatient according to how they feel.

  1. What grades did you earn in grades K-12?

Well brought up, children are likely to score good grades. The team will use this information and link it to the bringing up of the PatientPatient

  1. Which extracurricular activities did you participate in?

Extracurricular activities ensure healthy and human development. This information will be important in diagnosis.

  1. What is your highest level of education?

At low levels of education, human development is at its early stages. The team will use this information to choose a counseling strategy.

  1. List each job you have had and how long you worked there.

Well, paying job translates to healthy development. The information will be used to diagnose the PatientPatient. The type and nature of the job may be the cause of Illness.

  1. What religion were you raised in? What is your religion now?

Most religious people will choose a good lifestyle, hence perfect development. Information will portray the patient’s behavior.

  1. Which of the following illnesses or diseases run in your family:
    1. Diabetes
    2. Heart Disease
    3. High Blood Pressure
    4. High Cholesterol
    5. Mental Illness (depression, anxiety, eating disorders, bipolar, ADHD, schizophrenia, addiction and substance abuse, PTSD, insomnia, other)
    6. Cancer

Human development may be negatively affected by certain transmissible diseases. This information is good for tracing history.

  1. How often do you socialize with friends each month?

A human being is social; the human development index is marked by good interpersonal relations (Lind, 2019). Information will be used to trace the nature of the PatientPatient.

  1. Describe your diet and exercise throughout your life:
    1. Birth to age 18
      1. Healthy (range of fruits, vegetables, protein, dairy, and carbohydrates)
      2. Neutral (some fruits, vegetables, protein, dairy, and carbohydrates, but some junk food and fast food)
  • Unhealthy (too many calories or not enough calories, low levels of fruit, vegetables, protein, dairy, carbohydrates, high levels of junk food and fast food)

The human diet is a function of good body development. The information will be useful for noting the dietary problems.

  1. How would you describe your personality? (i.e., optimistic/pessimistic, angry/happy, easy-going/high-strung, etc.)

The personality of an individual defines them and helps them to develop fairly. The information will help doctors decide their approach to the PatientPatient

  1. Were you exposed to asbestos, lead paint, second-hand smoke, or poor water quality?

The four impacts development negatively. This information will be ideal for tracing the history of illnesses.

  1. Did you go to annual medical, dental, and vision appointments growing up? When were your last appointments for these?

Fair body development is dependent on regular checkups. This information will be important for historical purposes.

  1. Have you experienced or witnessed domestic violence?

Domestic violence may leave injuries to the body. The information will help doctors in finding solutions to the patient’s condition.

  1. How many and which languages were spoken in your home growing up?

Multi-lingual develops the mind. This will be important to interact with the PatientPatient in the language they feel comfortable with.

  1. Did your parents read to you as a child? What was your access to books and toys?

Parent influence is important for body development. The information will help doctors monitor the history of the patient.

  1. Did your parents drink alcohol or use drugs while you were growing up?

Seeing your caregivers indulge in certain behaviors tunes one’s body to the same behaviors. The information will be good for studying the lifestyle and behavior of the PatientPatient.

  1. Did your mother drink or use drugs while pregnant with you?

Drug abuse for pregnant mothers affects baby development. Information will be used to trace any childhood illness that may have resulted from the mother’s drug abuse.

  1. Were you ever neglected or abandoned?

Abandonment and neglect are short-term obstacles to development. The medical team may be looking to study the patient’s health history.





Hou, J., Walsh, P. P., & Zhang, J. (2015). The dynamics of the human development index. The Social Science Journal, 52(3), 331-347.

Lerner, R. M. (2018). Concepts and theories of human development. Routledge.

Lind, N. (2019). Development of the human development index. Social Indicators Research, 146(3), 409-423.