Environmental Health Questionnaire


When should I use the environmental history questionnaire?

Environmental Health Questionnaires
There are a number of excellent sources of environmental health questionnaires. These include the following:

  • The National Environmental Education Training Foundation (NEETF) questionnaire exists in two parts and is focused on assessment of asthma triggers in the environment children spend time such as the home or at school.
  • The Agency for Toxic Substances and Disease Registry (ATSDR) has a case studies in environmental medicine series. The module on “Pediatric Environmental Health” covers the broad topic to include special susceptibilities of children, and environmental exposures common to children. “Taking a Pediatric Exposure History” discusses anticipatory guidance, inclusion of environmental factors in differential, and instruction on taking an environmental history, environmental illness testing, and referral.
  • The Texas Childhood Lead Poioning Prevention Program (TX CLPPP) had recently designed a simplified questionnaire to be adminstered to parents of children who are being monitored for blood lead.