PhoenixCare Every 3 Month Telephone Interview
This telephonic tool is used to interview patients about activities of daily living, health status, pain and other symptoms and quality of life.
Clinical Care Tools - Clinical Assessment Tools
PhoenixCare Hospice of the Valley
1510 East Flower Street
Phoenix, AZ 85014
How the grantee used this instrument:
This telephone interview was conducted by a contracted polling agency and the information gathered contributed toward the research component of the study.
patient interview, symptom assessment
To use this tool:
You may print and copy this tool for your own use via the link under "To view this tool." Please credit source.
This questionnaire includes the SF-36 ™ Health Survey and is reproduced with permission of the Medical Outcomes Trust, Copyright © 1992.
To view this tool:
To view the tool in your browser left-click on the link below or to download to your computer right-click on the link.
PDF 84 KB / 10 pages
Posted June 26, 2003
Hospice of the Valley/PhoenixCare overview page
Promoting Excellence in End-of-Life Care was a national program of the Robert Wood Johnson Foundation dedicated to long-term changes in health care institutions to substantially improve care for dying people and their families. Visit PromotingExcellence.org for more resources.