Heart Failure Follow-Up Questionnaire
What a heart failure follow-up questionnaire asks, why each part matters, and how heart failure clinics collect it.
The heart failure follow-up questionnaire on this page asks about weight, symptoms, sleep, medicines, and diet since the last visit or hospital stay. The questions are a typical set built from NewYork-Presbyterian's transitions checklist, the University of Rochester's daily weight chart, and a heart failure clinic survey.
Heart failure follow-up questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a heart failure 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 heart failure follow-up questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- Do you have a working scale at home?Daily weight
- Have you weighed yourself every day?Daily weight
- Has your shortness of breath changed since last visit?Symptoms
- Have you noticed swelling in your feet or ankles?Symptoms
- How many pillows do you need to sleep?Sleep
- Do you wake up at night short of breath?Sleep
- Do you take your medicines as prescribed?Medicines
- Have you filled your discharge prescriptions?Medicines
- Do you follow a low-salt diet?Diet
- Were you given a daily fluid limit?Diet
- Do you have a follow-up appointment booked?Follow-up care
- How do you get to your appointments?Follow-up care
These are examples to read, not a form to fill in.
Heart failure follow-up questionnaire: FAQ
What does a heart failure follow-up questionnaire ask?
The questions on this page cover six areas: daily weight, symptoms, sleep, medicines, diet, and follow-up care. They draw on the NewYork-Presbyterian checklist, the University of Rochester chart, and the Simplified Heart Failure Clinic Questionnaire.
When is a heart failure follow-up questionnaire used?
After a hospital stay or at a clinic visit. The NewYork-Presbyterian checklist calls for a call within 72 hours of discharge. The Utah clinic survey is completed at clinic visits.
Why does it ask about pillows and sleep?
The University of Rochester daily chart records how many pillows a patient uses for sleep. The NewYork-Presbyterian checklist lists needing extra pillows among the signs patients are taught to watch.
Is it the same as a daily weight and symptom log?
A log is kept by the patient at home every day. A follow-up questionnaire asks about the same signs at a call or visit, along with medicines, diet, and appointments.
Is there a heart failure follow-up questionnaire template?
The sample questions on this page show a typical set. The University of Rochester publishes a daily weight and symptom chart that patients bring to visits.
Who reviews the answers?
The clinic's heart failure team reviews the answers and decides what happens next. AI Doctor only collects them and does not judge which signs matter.
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.
