POTS Questionnaire
What a POTS questionnaire asks, with sample questions for autonomic and cardiology clinics.
A POTS questionnaire such as the Vanderbilt Autonomic Dysfunction Center's form records symptoms on standing, prior diagnoses, medicines, and daily life before a first visit. It's also called an orthostatic intolerance history or a POTS intake.
POTS questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a POTS 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 POTS questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- What is the main problem you want help with?Main problem
- When did your symptoms start?Main problem
- Has a doctor ever said you have POTS?Prior diagnoses
- Were you told your blood pressure drops when standing?Prior diagnoses
- Do you feel lightheaded when you stand up?Standing symptoms
- Does sitting down ease those symptoms?Standing symptoms
- Do you have episodes of flushing or heavy sweating?Other symptoms
- Have your bowel or bladder habits changed?Other symptoms
- Which medicines do you take, and how often?Medicines
- Which medicines have you tried for this problem?Medicines
- How many cups of coffee do you drink daily?Daily life
- Did you have to stop work because of symptoms?Daily life
These are examples to read, not a form to fill in.
POTS questionnaire: FAQ
What does a POTS questionnaire ask?
The questions on this page follow the Vanderbilt Autonomic Dysfunction Center form. They cover six areas: main problem, prior diagnoses, standing symptoms, other symptoms, medicines, and daily life.
Who fills in a POTS questionnaire, and when?
The patient, before the first visit to an autonomic or POTS clinic. The Vanderbilt form also asks the patient's physician to send medical records ahead.
Is it the same as an orthostatic intolerance history?
It includes one. The Vanderbilt form asks about symptoms on standing and whether sitting eases them, and it also covers medicines, other body systems, and daily life.
Does a POTS questionnaire include heart rate readings?
The Vanderbilt Autonomic Dysfunction Center form asks for blood pressure and heart rate lying down and after standing, on three separate dates. A physician or a caregiver takes these readings.
Who reviews answers about fainting or chest pain?
The clinic team reviews every answer and decides what happens next. The avatar only collects answers and does not judge how urgent a symptom is.
What happens after the form is completed?
The clinic team reviews the answers and the standing readings and decides what happens 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.
