Interview Script
BIOGRAPHICAL DATA
You : andrea
Patient: nicole
You: Good day! I am ANDREA CAPATI, your student nurse for today. I’m here to
conduct an online interview with you that will mostly focus on your biographical
information as well as your past health medical history. This Data will be used in order
to provide health care made especially to cater your needs as well as to improve and
possibly solve your health concerns. Please be rest assured that all the listed data and
information will be kept confidential.
Do you give your consent in participating in this interview?
Patient: Yes.
You: Okay. I will ask you questions and I encourage you to answer it while giving as
much detail as possible.
You: So the first question is what is your full name?
Patient: I’m Nicole Manalang
You: How would you want to be called?
Patient: you can call me by my first name
You: Okay, nicole.
Are you male or female?
Patient: female
You: How old are you?
Patient: I’m 19 years old
You: What is your weight?
Patient: 52 kg
You: how about your height?
Patient: 5 ft and 4 inches
You: So, Ms Nicole, what is your address?
Patient: I live in purok 11, sanvicente, cabiao, nueva ecija
You: Where were you born?
Patient: I was born in arayat, pampanga
You: When is your birthday?
Patient: February 17, 2003
You: What is your nationality?
Patient: Filipino
You: What is your phone number?
Patient: my phone number is 09162447033
You: who is your significant others?
Patient: none
You: Are you single? Married? Divorced? or Annulled?
Patient: single
You: What is your Primary and Secondary Language?
Patient: My primary language is Tagalog and my secondary is English
You: what is your religion
Patient: catholic
You: Okay, Thank you.
What is your highest educational attainment?
Patient: I’m a Senior High School graduate
You: Are you a student? Are you employed, unemployed or retired?
Patient: I’m currently a college student
You: How many live with you?
Patient: we are 5 in the house
You: Who do you live with?
Patient: I live with my father, mother, younger brother, and sister.
You: What are the occupations of your parents, sister, and brother?
Patient: My mother is a housewife, my father is a farmer and my brother and
sister is a high school student
You: Okay.
You: are you a member of a health organization?
Patient: no
PAST HEALTH HISTORY
So let’s proceed to your Past Health history. I would like to ask if you have any
problems at birth?
Patient: I don't have
You: What are your childhood illnesses?
Patient: I experienced having anemia, Common colds, and flu.
You: did you have any vaccination against flu?
Patient: yes
You: Pollo?
Patient: yes
You: Mumps?
Patient: yes
You: Pneumonia?
Patient: yes
You: Measles?
Patient: yes
You: Vaccine for BCG?
Patient: yes
You: did you have any other vaccines?
Patient: none
You: Did you have any major or minor surgeries?
Patient: both, no.
You: have you experienced being hospitalized?
Patient: yes
You: Are you currently experiencing any acute or chronic adult illnesses? If yes,
can you please specify
Patient: at the age of 5 I was hospitalized due to anemia. Now, I'm always
experiencing strong pain in the lower part of my belly, the pain is come and goes
at first, then grows steady and intense. I also lose appetite. It affects me a lot
because I wasn’t able to concentrate.
You: Can you rate its severity from the scale of 1-10, where 10 is the most painful
and 1 is the least.
Patient: I will rate it as 9
You: when did it begin?
Patient: after the day I jogged in the morning
You: How long does it last?
Patient: the pain would last for like 12 hours.
You: do you feel dizzy
Patient: yes, i feel dizzy
You: how about vertigo?
Patient: yes
You: are you having a sensitivity to light?
Patient: yes, my eyes are getting blurry whenever im looking to lights
You: to sound?
Patient: yes, sometimes.
You: how about your sense of smell and touch?
Patient: sometimes im sensitive to touch and smell
You: are you experiencing nausea (nosha) and vomiting?
Patient: yes, apparently.
You: Do you have any trouble sleeping at night?
Patient: yes, almost every night.
You: How much time do you spend on gadgets?
Patient: When I’m attending online class, I always spend at least 8 hours on
Laptop. It depends on our synchronous and asynchronous time. It also included
my time spending on social media. I spend almost my time using my gadgets.
You: Were you involved in any accidents?
Patient: no
You: are you taking any medications? If yes, what are those?
Patient: Whenever I'm having a headache, I take Advil ibuprofen or biogesic.
You: oh and lastly, do you have any allergies?
Patient: none
You: So thank you for allowing me to do this interview and thank you for your
participation, Ms. Nicole. Please wait for the result of your test and the Doctor’s
prescription. Thank you and have a great day!
Patient: Thank you, Nurse Andrea!