Medicare wellness exam questions pdf 2026

1. Click ‘Get Form’ to open the Medicare Wellness Exam Questions PDF in the editor.
2. Begin by entering your name and today's date at the top of the form. This personal information is essential for your healthcare provider.
3. Proceed to answer the age-related question by selecting your date of birth and checking the appropriate age range box.
4. Indicate your gender by selecting either 'Male' or 'Female'.
5. For each subsequent question, such as those regarding emotional health and physical activity, select the option that best describes your experience over the past four weeks.
6. Continue filling out sections related to social activities, bodily pain, and assistance needed. Ensure you provide honest responses for accurate healthcare guidance.
7. Complete any additional questions about alcohol consumption, exercise habits, and confidence in managing health problems.
8. Finally, review all your answers for accuracy before saving or printing the completed form to bring to your appointment.

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