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June 16, 1969

A Health Questionnaire Based on Paper-and-Pencil Medium Individualized and Produced by ComputerI. Technique

Author Affiliations

From the sections of medicine (Drs. Mayne and Morrow), and psychiatry (Dr. Martin), Mayo Clinic and Mayo Foundation, Rochester, Minn; and the Lockheed Missiles & Space Co., Sunnyvale, Calif (Mr. Turner and Dr. Hisey).

JAMA. 1969;208(11):2060-2063. doi:10.1001/jama.1969.03160110032007

The relatively inexpensive mark-sense paper-and-pencil technique for administering a computer-generated and computer-processed health questionnaire is easy for patients to understand, simple to revise, and permits large-scale testing at low cost. The total questionnaire is designed to be administered in two or more portions or levels. Because each level after the first is a more detailed inquiry into positive responses made to questions of preceding levels, this multilevel approach permits the inquiry to be individualized to the patient. The questionnaires are generated from a question library, and the completed forms are read by an optical scanner. A summary of the patient's responses is printed for the physician's use.