Admission to Hospital

Open Ended

Can you mention some personal information needed to fill in the Admission Form?

Multiple Choice

How to ask your patient's name?

• Your name is what?

• What your name?

• What's your name?

Multiple Choice

How to ask the patient's address?

• You live where?

• Where do you live?

• Do you live where?

Multiple Choice

How to ask the patient's date of birth (DOB)? --> When were you born?

• TRUE

• FALSE

Multiple Choice

How to ask the patient's place of birth (POB)?

• Where were you born?

• You born where?

• When were you born?

Multiple Choice

How to ask the patient's civil status?

• Your civil status is what?

• What's your civil status?

• Are you civil status?