Respiratory Surveillance Questionnaire

A Respiratory Surveillance Questionnaire (RSQ) consists of personal as well as occupational health history questions including:

• Occupational exposures to asbestos, silica, coal dust or other industrial dusts and carcinogens

• Significant exposures to asbestos, silica, coal dust, other dust, and carcinogens during non-work-related activities

• Significant symptoms that may indicate silicosis, pneumoconiosis, asbestosis, or cancer

• Past and current medical diagnoses of respiratory disease

• Smoking history

RSQs are often reviewed in combination with spirometry and chest x-ray results.