NAILBA Impairment Questionnaires

Alcohol	Eating Disorders	Pancreatitis
Angioplasty	Emphysema	Panhypopituitarism
Anxiety Disorders	Enlarged Heart	Paralysis
Arthritis	Epilepsy	Parkinson’s Disease
Atrial Fibrillation	Foreign Travel Residence	Personality Disorders
Avocations	General Use Questionnaire	Pheochromocytoma
Bundle Branch Block	Heart Attack Myocardial Infarction	Polyp, Cyst, Tumor or Growth
Cancer	Heart Failure	Prostate Benign
Cancer-Bladder	Heart Murmur	Proteinuria
Cancer-Cervical	Hemochromatosis	PSA-Elevated
Cancer-Ovarian	Hepatitis	Sarcoidosis
Cancer-Prostate	Hypercoagulable Disorder	Scleroderma
Cancer-Skin	Hyperglycemia	Seizure Disorder
Cancer-Testicular	Hypertension	Sickle Cell Anemia
Cerebral Palsy	Irregular Heartbeat	Sleep Apnea
Congestive Heart Failure	Kidney Function Tests	Spinal Cord Injury Plegic
COPD	Kidney Transplant	Stent
Coronary Artery Disease	Leukemia	Stroke, TIA
Coronary Bypass	Liver Tests	T Wave Changes
Crohn’s Disease	Lung Disease	Thrombus
Cushing Syndrome	Lupus	Thyroid Disease
Dementia-Alzheimer’s	Lymphoma	Valvular Heart Surgery
Depression	Mental Disorders
Diabetes	Mitral Valve Disorder
Down Syndrome	Multiple Sclerosis
Driving	Neuromuscular Disorder
Drugs	Pacemaker