IHuman Assessment

General Information:

1. To Kasey: Can you describe any recent changes in your eating habits?

2. To Kasey's mother: Have you noticed any changes in Kasey's appetite?

3. To Kasey: How would you describe your overall energy levels recently?

4. To Kasey's mother: Have there been any changes in Kasey's daily routine or lifestyle?

5. To Kasey: Have you been experiencing any digestive issues such as nausea, vomiting, or diarrhea?

Diet and Nutrition:

6. To Kasey: Can you provide a typical day's meal plan including snacks?

7. To Kasey's mother: Are there any specific foods Kasey avoids or dislikes?

8. To Kasey: How many meals do you have in a day, and are they regular?

9. To Kasey's mother: Have you observed any changes in Kasey's interest in food?

Physical Activity:

10. To Kasey: What is your level of physical activity on a daily basis?

11. To Kasey's mother: Have there been any changes in Kasey's participation in sports or exercise?

Medical History:

12. To Kasey: Have you been experiencing any pain or discomfort?

13. To Kasey's mother: Are there any known medical conditions in the family that could contribute to
weight loss?

14. To Kasey: Have you noticed any changes in your menstrual cycle?

Psychological and Emotional Well-being:

15. To Kasey: How would you describe your stress levels recently?

16. To Kasey's mother: Have there been any major life events or changes that might be affecting Kasey
emotionally?

17. To Kasey: Do you often feel anxious or depressed?

Social and Environmental Factors:

18. To Kasey's mother: Are there any issues at school that might be causing stress?

19. To Kasey: How is your social life, and have there been any recent changes in your relationships with
friends or family?

20. To Kasey's mother: Have there been any changes in Kasey's sleeping patterns?
Medications and Supplements:

21. To Kasey: Are you currently taking any medications or supplements?

22. To Kasey's mother: Have there been any recent changes in Kasey's medication or supplement
regimen?

Substance Use:

23. To Kasey: Do you smoke cigarettes or use any recreational drugs?

24. To Kasey's mother: Are you aware of any substance use by Kasey?

Allergies and Intolerances:

25. To Kasey: Are there any foods or substances that you are allergic to or intolerant of?

26. To Kasey's mother: Are there known allergies in the family?

Weight and Growth History:

27. To Kasey's mother: Can you provide a history of Kasey's growth and weight development from
childhood until now?

28. To Kasey: Have you experienced any rapid growth spurts recently?

Gastrointestinal Symptoms:

29. To Kasey: Have you noticed any changes in your bowel habits?

30. To Kasey's mother: Have there been any complaints of abdominal pain or bloating?

Dietary Habits:

31. To Kasey: Do you have any specific dietary restrictions or preferences?

32. To Kasey's mother: How often does Kasey consume sugary or caffeinated beverages?

Mental Health:

33. To Kasey: How is your self-esteem and body image?

34. To Kasey's mother: Have you observed any signs of body dissatisfaction in Kasey?

Sleep Patterns:

35. To Kasey: How many hours of sleep do you get on average per night?

36. To Kasey's mother: Have there been any changes in Kasey's sleep patterns?

Physical Symptoms:

37. To Kasey: Are there any specific physical symptoms accompanying the weight loss, such as dizziness
or fatigue?

38. To Kasey's mother: Have you noticed any changes in Kasey's skin, hair, or nails?
Endocrine and Hormonal Health:

39. To Kasey: Have you experienced any changes in your menstrual cycle or any other hormonal
symptoms?

40. To Kasey's mother: Is there a history of hormonal disorders in the family?

Eating Disorder Assessment:

41. To Kasey: How would you describe your relationship with food?

42. To Kasey's mother: Have you observed any restrictive eating behaviors in Kasey?

Family History:

43. To Kasey's mother: Are there any significant medical or psychiatric conditions in the family history?

44. To Kasey: Have there been any recent losses or major changes in the family?

Pediatric History:

45. To Kasey's mother: Were there any complications during Kasey's birth or early childhood?

46. To Kasey: Have there been any recent vaccinations or medical procedures?

Physical Examination:

47. To Kasey: Have you experienced any unexplained fevers or night sweats?

48. To Kasey's mother: Are there any visible signs of swelling or lymph node enlargement?

Cognitive Function:

49. To Kasey: Have you noticed any changes in your ability to concentrate or focus?

50. To Kasey's mother: Are there any concerns about Kasey's cognitive function?

Reproductive Health:

51. To Kasey: Are you sexually active, and have there been any changes in your reproductive health?

52. To Kasey's mother: Have there been any concerns related to Kasey's reproductive health?

Mental Health History:

53. To Kasey: Have you ever been diagnosed with or treated for any mental health conditions?

54. To Kasey's mother: Have there been any family members with mental health conditions?

Cardiovascular Health:

55. To Kasey: Have you experienced any chest pain or shortness of breath?

56. To Kasey's mother: Is there any history of cardiovascular disease in the family?

Respiratory Health:
57. To Kasey: Have you had any recent respiratory infections or cough?

58. To Kasey's mother: Is there a history of respiratory conditions in the family?

Urinary Symptoms:

59. To Kasey: Have you noticed any changes in your urinary habits or any pain during urination?

60. To Kasey's mother: Is there a history of urinary issues in the family?

Neurological Symptoms:

61. To Kasey: Have you experienced any headaches, seizures, or changes in vision?

62. To Kasey's mother: Is there a family history of neurological conditions?

Musculoskeletal Health:

63. To Kasey: Have you had any joint pain, stiffness, or swelling?

64. To Kasey's mother: Is there any history of musculoskeletal conditions in the family?

Dental Health:

65. To Kasey: How is your dental hygiene, and have you experienced any dental issues recently?

66. To Kasey's mother: Is there a history of dental problems in the family?

Immunization History:

67. To Kasey's mother: Is Kasey up-to-date on vaccinations?

68. To Kasey: Have there been any recent changes in Kasey's immunization status?

Travel History:

69. To Kasey: Have you traveled recently, and if so, where?

70. To Kasey's mother: Are there any concerns about infections related to recent travel?

Psychosocial Factors:

71. To Kasey: How do you cope with stress, and are there any recent stressors in your life?

72. To Kasey's mother: How would you describe the family's support system?

Substance Use History:

73. To Kasey: Do you use any recreational drugs or alcohol?

74. To Kasey's mother: Are you aware of any substance use by Kasey?

School Performance:

75. To Kasey: How has your academic performance been recently?

76. To Kasey's mother: Have there been any changes in Kasey's school performance?
Peer Relationships:

77. To Kasey: How are your relationships with peers, and have there been any recent changes?

78. To Kasey's mother: Have you noticed any social challenges for Kasey?

Future Plans:

79. To Kasey: Do you have any upcoming plans or major life events that might be causing stress?

80. To Kasey's mother: Are there any major family events or changes on the horizon?