Syncope Questionnaire
What a syncope questionnaire asks, the areas it covers, and sample questions for practice staff.
The syncope questionnaire on this page covers what happened before, during, and after a faint, and who saw it. The questions follow York and Scarborough Teaching Hospitals' eyewitness syncope form, worded for the patient, plus fainting items from cardiology intake forms.
Syncope questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a syncope 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 syncope questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- What were you doing just before you fainted?Before fainting
- Did you stand up or exert yourself?Before fainting
- Did it come on suddenly or gradually?Onset
- Were you injured when you fell?Onset
- Did you fully lose consciousness?During
- How long were you unconscious, if known?During
- Did you feel confused afterward?Recovery
- How long until you felt normal again?Recovery
- Did anyone see you faint?Witnesses
- Can the practice contact the witness?Witnesses
- Do you get palpitations or chest pain?Health history
- Has a close relative died suddenly?Health history
These are examples to read, not a form to fill in.
Syncope questionnaire: FAQ
What does a syncope questionnaire ask?
The questions on this page follow York and Scarborough Teaching Hospitals' eyewitness syncope form and cardiology intake forms. They cover six areas: before fainting, onset, during, recovery, witnesses, and health history.
Who fills in a syncope questionnaire, and when?
The questions on this page are worded for the patient to answer before the visit. York and Scarborough's form is filled in by a witness, and the patient brings it to the first appointment.
Is it the same as a fainting history?
Yes. Fainting history is another name for questions about what happened before, during, and after a faint.
Why does the form ask about a witness?
The York form says a witness's account helps the team work out the cause of the collapse. It asks what the witness saw before, during, and after.
Is there a syncope questionnaire template?
York and Scarborough Teaching Hospitals NHS Foundation Trust publishes its eyewitness description form for syncope. The sample questions on this page show a typical set.
What happens after the questionnaire is completed?
The practice's team reviews the answers and decides what happens next. The avatar only collects them and makes no judgment about the faint.
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.
