Geriatric

Explains task, assures confidentiality, obtains consent

 * My name is [Medical Student] and I'm a first year medical student at AUA.
 * Can I please get your full name and age please?
 * Mr. Doe, today my attending physician has asked me to take your interview where I'll be asking you a few questions about your health, is that okay?
 * I just want to remind you that anything we discuss will be confidential.
 * Is there anything I can get you before we begin?

Begins with open ended questions and transitions

 * Mr. Doe, what brought you into the clinic today?
 * Mr. Doe, just to make I heard your correctly...
 * Mr. Doe, I'd like to ask you a few questions about your personal life.

Enquires about effect that symptoms are having on everyday life (activity of daily living)

 * Have your symptoms affected your everyday life?

Explores living arrangements, care giver and support services, and assesses degree of social interaction with relatives and friends.

 * Mr. Doe, who lives with you at home?
 * Are you able to move around do everyday task?
 * Do you have a care giver?
 * How often do you spend time with relatives and friends?

Asks about appetite and daily diet

 * How's your appetite?
 * What kinds of food do you usually eat?

Asks about mood, concentration and memory

 * How's your mood been lately?
 * Do you have any trouble with concentration or memory?

Asks about falls, vision and hearing

 * Have you had any recent falls?
 * Has there been any changes to your vision or hearing?

Asks about urinary incontinence

 * Do you have any trouble controlling your bladder?
 * That's all the questions I have, thank you for coming in.
 * Do you have any questions?