{"id":3441,"date":"2025-11-11T16:58:48","date_gmt":"2025-11-11T15:58:48","guid":{"rendered":"https:\/\/cabinet-dentaire-nguyen-van-duong.fr\/medical-questionnaire\/"},"modified":"2025-11-13T13:45:55","modified_gmt":"2025-11-13T12:45:55","slug":"medical-questionnaire","status":"publish","type":"page","link":"https:\/\/cabinet-dentaire-nguyen-van-duong.fr\/en\/medical-questionnaire\/","title":{"rendered":"Medical questionnaire"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Today, dentistry is an integral part of medicine. In order to treat you safely and provide you with the best possible dental care, we need you to provide us with a certain amount of essential information about your health, any medication you may be taking and the condition of your teeth. <\/p>\n\n<p class=\"wp-block-paragraph\">So please answer the following questions carefully. It should only take a few minutes, and it will be a great help to us. <\/p>\n\n<p class=\"wp-block-paragraph\">So please answer the following questions carefully. It should only take a few minutes, and it will be a great help to us. <\/p>\n\n    <form style=\"--_row-gap: 20px;--_field-spacing-x: 20px;--_field-spacing-y: 20px;--_conditional-field-spacing: 12px;--_input-bg:;--_input-border-color:;--_input-color:;--_placeholder-color:;--_f-color:;--_input-radius: 40px\" class=\"m-form is-aligned-left wp-block-mediweb-form\">\n        \n<form class=\"wp-block-mediweb-form m-form\">\n<div class=\"wp-block-mediweb-form-row m-form__row\">\n<div class=\"wp-block-mediweb-form-field m-form__field type-radio false\" style=\"--field-width:50% ;--group-cols:1\"><label><\/label><div class=\"input-wrapper\"><div class=\"radio-group\"><label><input type=\"radio\" name=\"civilite[]\" value=\"Mme\"><span>Ms.<\/span><\/label><label><input type=\"radio\" name=\"civilite[]\" value=\"Melle\"><span>Miss<\/span><\/label><label><input type=\"radio\" name=\"civilite[]\" value=\"Mr\"><span>Mr<\/span><\/label><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-mediweb-form-field m-form__field type-date required false\" style=\"--field-width:50% ;--group-cols:1\"><label>Date of birth<\/label><div class=\"input-wrapper\"><input type=\"text\" name=\"date-de-naissance\" data-inputmask=\"'mask': '14-10-2020'\" data-type=\"mask\" placeholder=\"DD\/MM\/YYYY\"><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-mediweb-form-row m-form__row\">\n<div class=\"wp-block-mediweb-form-field m-form__field type-text required false\" style=\"--field-width:50% ;--group-cols:1\"><label>Name<\/label><div class=\"input-wrapper\"><input type=\"text\" required=\"\" name=\"surname\" placeholder=\" \"><\/div><\/div>\n\n\n\n<div class=\"wp-block-mediweb-form-field m-form__field type-text required false\" style=\"--field-width:50% ;--group-cols:1\"><label>First name<\/label><div class=\"input-wrapper\"><input type=\"text\" required=\"\" name=\"prenom\" placeholder=\" \"><\/div><\/div>\n\n\n\n<div class=\"wp-block-mediweb-form-field m-form__field type-text false\" style=\"--field-width:100% ;--group-cols:1\"><label>Profession<\/label><div class=\"input-wrapper\"><input type=\"text\" name=\"profession\" placeholder=\" \"><\/div><\/div>\n\n\n\n<div class=\"wp-block-mediweb-form-field m-form__field type-text false\" style=\"--field-width:100% ;--group-cols:1\"><label>Postal address<\/label><div class=\"input-wrapper\"><input type=\"text\" name=\"adresse-postale\" placeholder=\" \"><\/div><\/div>\n\n\n\n<div class=\"wp-block-mediweb-form-field m-form__field type-tel required false\" style=\"--field-width:50% ;--group-cols:1\"><label>Mobile phone\/fix<\/label><div class=\"input-wrapper\"><input type=\"tel\" required=\"\" name=\"telephone\" placeholder=\"+33\"><\/div><\/div>\n\n\n\n<div class=\"wp-block-mediweb-form-field m-form__field type-text required false\" style=\"--field-width:50% ;--group-cols:1\"><label>E-mail address<\/label><div class=\"input-wrapper\"><input type=\"text\" required=\"\" name=\"adresse-mail\" placeholder=\" \"><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-mediweb-form-row m-form__row\">\n<div class=\"wp-block-mediweb-form-field m-form__field type-text false\" style=\"--field-width:50% ;--group-cols:1\"><label>Name of your attending physician<\/label><div class=\"input-wrapper\"><input type=\"text\" name=\"medecin-traitant\" placeholder=\" \"><\/div><\/div>\n\n\n\n<div class=\"wp-block-mediweb-form-field m-form__field type-date inline\" style=\"--field-width:50% ;--group-cols:1\"><label>When was your last <br>medical examination?<\/label><div class=\"input-wrapper\"><input type=\"text\" name=\"dernier-examen-medical\" data-inputmask=\"'mask': '14-10-2020'\" data-type=\"mask\" placeholder=\"DD\/MM\/YYYY\"><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-mediweb-form-row m-form__row\">\n<div class=\"wp-block-mediweb-form-field m-form__field type-radio\" style=\"--field-width:100% ;--group-cols:1\"><label>Do you have a particular health problem to report?<\/label><div class=\"input-wrapper\"><div class=\"radio-group\"><label><input type=\"radio\" name=\"avez-vous-un-probleme-de-sante-particulier-a-nous-signaler-[]\" value=\"Oui\"><span>Yes<\/span><\/label><label><input type=\"radio\" name=\"avez-vous-un-probleme-de-sante-particulier-a-nous-signaler-[]\" value=\"Non\"><span>No<\/span><\/label><\/div><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-mediweb-form-row m-form__row\">\n<div class=\"wp-block-mediweb-form-field m-form__field type-checkbox false\" style=\"--field-width:100% ;--group-cols:2\"><label>Please tick each of the following diseases or problems you may have had in the past or have at present: (Answers will be completed during the interview with the Dentist).<\/label><div class=\"input-wrapper\"><div class=\"checkbox-group\"><div class=\"group-item\"><label><input type=\"checkbox\" name=\"problemes[]\" value=\"Antid\u00e9presseurs\"><span>Antidepressants<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"problemes[]\" value=\"Asthme\"><span>Asthma<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"problemes[]\" value=\"Chirurgie esth\u00e9tique\"><span>Cosmetic surgery<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"problemes[]\" value=\"D\u00e9sordres hormonaux\"><span>Hormonal disorders<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"problemes[]\" value=\"Diab\u00e8te\"><span>Diabetes<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"problemes[]\" value=\"Glaucome\"><span>Glaucoma<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"problemes[]\" value=\"H\u00e9patite A, B ou C\"><span>Hepatitis A, B or C<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"problemes[]\" value=\"L\u00e9sions cardiaques cong\u00e9nitales\"><span>Congenital heart defects<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"problemes[]\" value=\"Ulc\u00e8res \u00e0 l\u2019estomac\"><span>Stomach ulcers<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"problemes[]\" value=\"Maladie du foie\"><span>Liver disease<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"problemes[]\" value=\"Maladies cardiaques\"><span>Heart disease<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"problemes[]\" value=\"Maladie du sang\"><span>Blood disease<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"problemes[]\" value=\"Tumeur maligne\"><span>Malignant tumor<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"problemes[]\" value=\"\u0152d\u00e8mes (gonflements)\"><span>Edema (swelling)<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"problemes[]\" value=\"Pacemaker\"><span>Pacemaker<\/span><\/label><\/div><\/div><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-mediweb-form-row m-form__row\">\n<div class=\"wp-block-mediweb-form-field m-form__field type-radio\" style=\"--field-width:100% ;--group-cols:1\"><label>Have you ever experienced abnormal bleeding during an operation or accident?<\/label><div class=\"input-wrapper\"><div class=\"radio-group\"><label><input type=\"radio\" name=\"avez-vous-deja-eu-un-saignement-anormal-au-cours-dune-intervention-ou-dun-accident-[]\" value=\"Oui\"><span>Yes<\/span><\/label><label><input type=\"radio\" name=\"avez-vous-deja-eu-un-saignement-anormal-au-cours-dune-intervention-ou-dun-accident-[]\" value=\"Non\"><span>No<\/span><\/label><\/div><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-mediweb-form-row m-form__row\">\n<div class=\"wp-block-mediweb-form-field m-form__field type-radio\" style=\"--field-width:100% ;--group-cols:1\"><label>Have you undergone radiation treatment (radiotherapy)? <\/label><div class=\"input-wrapper\"><div class=\"radio-group\"><label><input type=\"radio\" name=\"avez-vous-subi-un-traitement-par-radiations--radiotherapie[]\" value=\"Oui\"><span>Yes<\/span><\/label><label><input type=\"radio\" name=\"avez-vous-subi-un-traitement-par-radiations--radiotherapie[]\" value=\"Non\"><span>No<\/span><\/label><\/div><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-mediweb-form-row m-form__row\">\n<div class=\"wp-block-mediweb-form-field m-form__field type-radio false\" style=\"--field-width:100% ;--group-cols:1\"><label>Prenez-vous des m\u00e9dicaments en ce moment ?<\/label><div class=\"input-wrapper\"><div class=\"radio-group\"><label><input type=\"radio\" name=\"prenez-vous-des-medicaments-en-ce-moment-[]\" value=\"Oui\"\/><span>Oui<\/span><\/label><label><input type=\"radio\" name=\"prenez-vous-des-medicaments-en-ce-moment-[]\" value=\"Non\"\/><span>Non<\/span><\/label><\/div><\/div>\n<div class=\"wp-block-mediweb-form-row m-form__row\">\n<div class=\"wp-block-mediweb-form-field m-form__field type-checkbox false\" style=\"--field-width:100% ;--group-cols:1\"><label>If so, which ones?<\/label><div class=\"input-wrapper\"><div class=\"checkbox-group\"><div class=\"group-item\"><label><input type=\"checkbox\" name=\"prenez-vous-des-medicaments-en-ce-moment-lesquels[]\" value=\"Antibiotiques\"><span>Antibiotics<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"prenez-vous-des-medicaments-en-ce-moment-lesquels[]\" value=\"Aspirine\"><span>Aspirin<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"prenez-vous-des-medicaments-en-ce-moment-lesquels[]\" value=\"Insuline\"><span>Insulin<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"prenez-vous-des-medicaments-en-ce-moment-lesquels[]\" value=\"Cortisone\"><span>Cortisone<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"prenez-vous-des-medicaments-en-ce-moment-lesquels[]\" value=\"Antihistaminique\"><span>Antihistamine<\/span><\/label><\/div><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-mediweb-form-field m-form__field type-text false\" style=\"--field-width:100% ;--group-cols:1\"><label>Other<\/label><div class=\"input-wrapper\"><input type=\"text\" name=\"prenez-vous-des-medicaments-en-ce-moment-autres\" placeholder=\" \"><\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-mediweb-form-row m-form__row\">\n<div class=\"wp-block-mediweb-form-field m-form__field type-radio false\" style=\"--field-width:100% ;--group-cols:1\"><label>\u00cates-vous allergique \u00e0 certains produits ou m\u00e9dicaments ?<\/label><div class=\"input-wrapper\"><div class=\"radio-group\"><label><input type=\"radio\" name=\"etes-vous-allergique-a-certains-produits-ou-medicaments-[]\" value=\"Oui\"\/><span>Oui<\/span><\/label><label><input type=\"radio\" name=\"etes-vous-allergique-a-certains-produits-ou-medicaments-[]\" value=\"Non\"\/><span>Non<\/span><\/label><\/div><\/div>\n<div class=\"wp-block-mediweb-form-row m-form__row\">\n<div class=\"wp-block-mediweb-form-field m-form__field type-checkbox false\" style=\"--field-width:100% ;--group-cols:1\"><label>If so, which ones?<\/label><div class=\"input-wrapper\"><div class=\"checkbox-group\"><div class=\"group-item\"><label><input type=\"checkbox\" name=\"etes-vous-allergique-a-certains-produits-ou-medicaments-lesquels[]\" value=\"Anesth\u00e9sique local chez le Dentiste\"><span>Local anesthetic for dentists<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"etes-vous-allergique-a-certains-produits-ou-medicaments-lesquels[]\" value=\"Antibiotique\"><span>Antibiotic<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"etes-vous-allergique-a-certains-produits-ou-medicaments-lesquels[]\" value=\"Iode et produits d\u00e9riv\u00e9s\"><span>Iodine and by-products<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"etes-vous-allergique-a-certains-produits-ou-medicaments-lesquels[]\" value=\"Latex\"><span>Latex<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"etes-vous-allergique-a-certains-produits-ou-medicaments-lesquels[]\" value=\"Neuroleptique ou somnif\u00e8re\"><span>Neuroleptic or sleeping pill<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"etes-vous-allergique-a-certains-produits-ou-medicaments-lesquels[]\" value=\"M\u00e9tal\"><span>Metal<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"etes-vous-allergique-a-certains-produits-ou-medicaments-lesquels[]\" value=\"Barbituriques\"><span>Barbiturates<\/span><\/label><\/div><div class=\"group-item\"><label><input type=\"checkbox\" name=\"etes-vous-allergique-a-certains-produits-ou-medicaments-lesquels[]\" value=\"Cod\u00e9ine\"><span>Codeine<\/span><\/label><\/div><\/div><\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-mediweb-form-row m-form__row\">\n<div class=\"wp-block-mediweb-form-field m-form__field type-text\" style=\"--field-width:100% ;--group-cols:1\"><label>If you think you have any other illness or problem not listed above that could help us to treat you in the best possible conditions, please let us know.<\/label><div class=\"input-wrapper\"><input type=\"text\" name=\"si-vous-pensez-avoir-toute-autre-maladie-ou-tout-autre-probleme-non-indique-dans-la-liste-ci--dessus-qui-pourrait-nous-aider-a-vous-soigner-dans-les-meilleures-conditions-merci-de-le-preciser\" placeholder=\" \"><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-mediweb-form-row m-form__row\">\n<div class=\"wp-block-mediweb-form-field m-form__field type-radio\" style=\"--field-width:100% ;--group-cols:1\"><label>\u00cates-vous fumeur ?<\/label><div class=\"input-wrapper\"><div class=\"radio-group\"><label><input type=\"radio\" name=\"etes-vous-fumeur-[]\" value=\"Oui\"\/><span>Oui<\/span><\/label><label><input type=\"radio\" name=\"etes-vous-fumeur-[]\" value=\"Non\"\/><span>Non<\/span><\/label><\/div><\/div>\n<div class=\"wp-block-mediweb-form-row m-form__row\">\n<div class=\"wp-block-mediweb-form-field m-form__field type-number inline\" style=\"--field-width:50% ;--group-cols:1\"><label>If yes, <br>number of cigarettes\/day<\/label><div class=\"input-wrapper\"><input type=\"number\" name=\"etes-vous-fumeur--nombre-de-cigarettes\" placeholder=\"0\"><\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-mediweb-form-row m-form__row\">\n<div class=\"wp-block-mediweb-form-field m-form__field type-radio\" style=\"--field-width:100% ;--group-cols:1\"><label>Madame, Mademoiselle, \u00eates-vous enceinte ?<\/label><div class=\"input-wrapper\"><div class=\"radio-group\"><label><input type=\"radio\" name=\"madame-mademoiselle-etes-vous-enceinte-[]\" value=\"Oui\"\/><span>Oui<\/span><\/label><label><input type=\"radio\" name=\"madame-mademoiselle-etes-vous-enceinte-[]\" value=\"Non\"\/><span>Non<\/span><\/label><\/div><\/div>\n<div class=\"wp-block-mediweb-form-row m-form__row\">\n<div class=\"wp-block-mediweb-form-field m-form__field type-number inline\" style=\"--field-width:50% ;--group-cols:1\"><label>If yes, <br>number of cigarettes\/day<\/label><div class=\"input-wrapper\"><input type=\"number\" name=\"nombre-de-cigarettesjour\" placeholder=\"0\"><\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-mediweb-form-row m-form__row\">\n<div class=\"wp-block-mediweb-form-field m-form__field type-radio\" style=\"--field-width:100% ;--group-cols:1\"><label>Are you taking any treatment for osteoporosis or other bone disease (Didronel, Clabostan, Lytos, Skelid, Aredia, Fosamax, Fosavance, Actonel, Bonviva, Bondranat, Zometa, Aclasta)? <\/label><div class=\"input-wrapper\"><div class=\"radio-group\"><label><input type=\"radio\" name=\"traitement-contre-losteoporose[]\" value=\"Oui\"><span>Yes<\/span><\/label><label><input type=\"radio\" name=\"traitement-contre-losteoporose[]\" value=\"Non\"><span>No<\/span><\/label><\/div><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-mediweb-form-row m-form__row\">\n<div class=\"wp-block-mediweb-form-field m-form__field type-checkbox required\" style=\"--field-width:100% ;--group-cols:1\"><label><\/label><div class=\"input-wrapper\"><div class=\"checkbox-group\"><div class=\"group-item\"><label><input type=\"checkbox\" name=\"term_condition[]\" value=\"J\u2019atteste l\u2019exactitude de ce document et n\u2019avoir rien omis. Je signalerai, imm\u00e9diatement, toute modification concernant mon \u00e9tat de sant\u00e9 et mes prescriptions m\u00e9dicales.\" required=\"\"><span>I certify that this document is accurate and that nothing has been omitted. I will notify you immediately of any changes in my state of health or medical prescriptions. <\/span><\/label><\/div><\/div><\/div><\/div>\n<\/div>\n<input type=\"hidden\" name=\"formSettings\" value=\"{&quot;alignWide&quot;:&quot;none&quot;,&quot;sendFrom&quot;:&quot;&quot;,&quot;sendTo&quot;:&quot;lesya@mediweb.fr&quot;}\"\/><div class=\"m-form__row\"><button type=\"submit\" class=\"m-button\"><span>Envoyer<\/span><\/button><\/div><\/form>\n        <input \n            type=\"hidden\" \n            name=\"formSettings\" \n            value=\"{&quot;sendTo&quot;:&quot;lesya@mediweb.fr&quot;,&quot;translatedWithWPMLTM&quot;:&quot;1&quot;,&quot;postId&quot;:0,&quot;alignWide&quot;:&quot;none&quot;,&quot;sendFrom&quot;:&quot;&quot;,&quot;submitButtonAlignment&quot;:&quot;left&quot;,&quot;generatePDF&quot;:false,&quot;emailSubject&quot;:&quot;&quot;,&quot;emailTemplate&quot;:&quot;&quot;,&quot;rowGap&quot;:20,&quot;fieldSpacing&quot;:{&quot;x&quot;:20,&quot;y&quot;:20},&quot;conditionalFieldSpacing&quot;:12,&quot;colorSchema&quot;:{&quot;inputBackground&quot;:&quot;&quot;,&quot;inputTextColor&quot;:&quot;&quot;,&quot;inputBorderColor&quot;:&quot;&quot;,&quot;inputPlaceholderColor&quot;:&quot;&quot;,&quot;inputBorderColorFocus&quot;:&quot;&quot;,&quot;inputBackgroundFilled&quot;:&quot;&quot;,&quot;inputTextColorFilled&quot;:&quot;&quot;,&quot;color&quot;:&quot;&quot;},&quot;uiSchema&quot;:{&quot;inputRadius&quot;:40}}\"\n        \/>\n        <div class=\"m-form__row\">\n            <button type=\"submit\" class=\"m-button\">\n                <span>Envoyer<\/span>\n            <\/button>\n        <\/div>\n    <\/form>","protected":false},"excerpt":{"rendered":"<p>Today, dentistry is an integral part of medicine. In order to treat you safely and provide you with the best possible dental care, we need you to provide us with a certain amount of essential information about your health, any medication you may be taking and the condition of your teeth. 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