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Registration with a GP?
Attended GP in past year?
Self -prescribed or asked a colleague to prescribe?
By-passed normal NHS referral process?
Chronic illness?
Pain?
Recent Bereavement?
Stress at work or elsewhere (include enquiry re excessive workload)?
Coping strategies for stress?
Active self-care and maintenance work/life balance
Adequate holiday and study leave
Network of support at work and outside work?
Involved in a complaint?
Are you sleep-deprived?
Clyde Mitchell: endspan
Brad Cheek: last updated Dec 2006
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