Get Afeqt Questionnaire

The Afeqt Questionnaire is an essential tool designed to evaluate the impact of atrial fibrillation on an individual's quality of life. This guide will assist you in conveniently completing the questionnaire online, ensuring that you provide the necessary information accurately.

Follow the steps to effectively complete the Afeqt Questionnaire.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. In the first section, you will be asked whether you are currently experiencing atrial fibrillation. Select 'Yes' or 'No'. If selecting 'No', indicate when you last experienced an episode by checking the appropriate option.
3. Proceed to section two, which assesses how atrial fibrillation affects your quality of life. Respond to each question by circling a number on a scale from 1 to 7 that best represents your experience over the past four weeks.
4. Answer how atrial fibrillation has limited your activities, such as recreational pastimes and relationships, by circling the number that reflects your level of limitation.
5. Continue answering the subsequent questions regarding difficulties you may have faced due to atrial fibrillation, again using the scale from 1 to 7.
6. Evaluate your emotional responses, including worries about symptoms and treatment, by circling the corresponding number based on your feelings over the past four weeks.
7. In the final questions, indicate your satisfaction with your current treatment and how well it controls your symptoms by selecting a rating from 1 to 7.
8. Once you have completed all sections, review your responses for accuracy. You can then save changes, download the form, print it, or share it as needed.

Complete the Afeqt Questionnaire online today to contribute to your health assessment.