Cardiology Follow-Up Questionnaire
What a cardiology follow-up questionnaire asks, the areas it covers, and sample questions for practice staff.
The cardiology follow-up questionnaire on this page covers what changed since the last visit: hospital stays, procedures, medication changes, and current symptoms. The questions on this page are a typical set built from OU Medicine's Heart Center Clinic form.
Cardiology follow-up questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a cardiology follow-up questionnaire in the patient's own language, strictly following the practice's instructions.
- Intake before the visit. Patients answer online before they arrive, or at a kiosk when they check in.
- Answers ready for the clinician. Clinicians see what the patient said before the visit starts.
- Less workload at the front desk. Staff spend less time handing out forms and entering answers by hand.
- Key details at a glance. The care team sees what matters up front and decides who needs attention first.
The form becomes a natural conversation: patients answer by talking, in their own words. AI Doctor is an information and patient-assistance interface. It collects answers for the care team to review. It doesn't diagnose, triage, or give treatment advice.
Sample cardiology follow-up questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- Who is your primary care doctor now?Care team
- Has your referring doctor changed?Care team
- Has anything changed at home or work?Life changes
- Any new heart problems in your family?Life changes
- Any hospital stays since your last visit?Hospital stays
- Have you had surgery or a procedure since?Hospital stays
- Have you started or stopped any medicines?Medications
- Has the dose of any medicine changed?Medications
- Have you had chest pain or palpitations?Heart symptoms
- Have you passed out or felt dizzy?Heart symptoms
- Are you short of breath with activity?Other symptoms
- Have you had trouble sleeping?Other symptoms
These are examples to read, not a form to fill in.
Cardiology follow-up questionnaire: FAQ
What does a cardiology follow-up questionnaire ask?
The questions on this page are a typical set built from OU Medicine's Heart Center Clinic established patient questionnaire. They cover six areas: care team, life changes, hospital stays, medications, heart symptoms, and other symptoms.
Who fills in a cardiology follow-up questionnaire, and when?
The returning patient or a family member, before the follow-up visit. The OU Medicine form has a line for who filled it in and their relationship to the patient.
Is it the same as an interval history?
Yes. Interval history is another name for the same update: what changed between two visits, such as hospital stays, medicines, and symptoms.
Why does the form ask about medication changes?
Medicines may have been started, stopped, or changed since the last visit. The OU Medicine form asks for new drugs, stopped drugs, and dose or frequency changes.
Is there a cardiology follow-up questionnaire template?
OU Medicine publishes its Heart Center Clinic established patient questionnaire as a PDF. The sample questions on this page show a typical set.
What happens after the form is completed?
The care team reviews the updates before the visit. The cardiologist assesses any new symptom and decides what to do next.
Does AI Doctor give medical advice?
No. It collects information for the care team. It doesn't diagnose, triage, or recommend treatment.
Can patient answers stay on our own servers?
Yes. RAVATAR offers on-prem deployment: the platform can run inside your own perimeter, so patient answers stay there. RAVATAR complies with GDPR and the EU AI Act.
Set up your AI Doctor in Genesis AI Avatar Studio
Genesis AI Avatar Studio is where you set up, test, and publish AI avatars for your website, mobile app, or Holobox. No coding or technical skills needed.
- 01Choose the AI Doctor avatar.
- 02Add your practice's FAQs and visit information.
- 03Talk to it, then publish it.
