Anterior Hip

1. NeurologicalDo you have problems with sleeping?Have you ever had a stroke?Have you ever had seizures?Do you have Parkinson’s?Do you have frequent headaches?Do you have blurred vision or double vision?Do you have substantial weakness in lower extremities?Do you have numbness/tingling anywhere in your body?Other:apple Yes apple Noapple Yes apple Noapple Yes apple Noapple Yes apple Noapple Yes apple Noapple Yes apple Noapple Yes apple Noapple Yes apple No2 . Eyes, Ears, Nose ThroatDo you wear glasses or contacts?Do you have cataracts?Are you hard of hearing or wear a hearing aid?Do you get nosebleeds?Does twisting your neck quickly cause pain, tingling or dizziness?Have you ever had lumps or swelling in your neck?Do you wear dentures?Other:apple Yes apple Noapple Yes apple Noapple Yes apple Noapple Yes apple Noapple Yes apple Noapple Yes apple Noapple Yes apple No3. Respirator yHave you ever been diagnosed with sleep apnea?Do you use Oxygen at home?Do you use a CPAP/BIPAP machine at home?Do you have problems with shortness of breath?Do you wheeze or gasp for breath?Have you ever coughed up blood?Have you ever had emphysema?Other:apple Yes apple Noapple Yes apple Noapple Yes apple Noapple Yes apple Noapple Yes apple Noapple Yes apple Noapple Yes apple No4. CardiovascularDo you have a pacemaker or AID?Have you ever had chest pains of tightness in your chest?Have you ever had a heart attack?Have you ever had Rheumatic Fever?Are you bothered with a pounding or racing heart beat?Have you ever been short of breath at night or with regularactivity?Have you ever been diagnosed with Congestive Heart Failure?Have you ever been diagnosed with high blood pressure?Have your ever been diagnosed with a heart murmur?Have you had recent blood pressure changes?Other:apple Yes apple Noapple Yes apple Noapple Yes apple Noapple Yes apple Noapple Yes apple Noapple Yes apple Noapple Yes apple Noapple Yes apple Noapple Yes apple Noapple Yes apple Noapple Yes apple No