Dental Anxiety Questionnaire
What a dental anxiety questionnaire asks, why each part matters, and how dental practices collect it.
A dental anxiety questionnaire records what worries a patient about dental visits and what has helped, so the team can plan the appointment. This page shows an unscored set of comfort questions, built from dental clinic intake forms and patient forms shared with dentists.
Dental anxiety questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a dental anxiety 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 dental anxiety questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- Has a past dental visit left you worried?Past visits
- Are you usually comfortable during dental treatment?Past visits
- Which parts of a dental visit worry you most?Worries
- Is gagging or choking a worry for you?Worries
- What has helped you feel calmer at past visits?What helps
- Would you like someone with you for support?What helps
- Should the dentist explain each step beforehand?Preferences
- Would you like a signal to pause treatment?Preferences
- Have you had sedation for dental care before?Sedation
- Would you like to discuss sedation with the dentist?Sedation
- Do you take sedatives, sleeping pills, or anxiety medicine?Health
- Have you reacted badly to dental numbing medicine?Health
These are examples to read, not a form to fill in.
Dental anxiety questionnaire: FAQ
What does a dental anxiety questionnaire ask?
The sample on this page covers six areas: past visits, worries, what helps, preferences, sedation, and health.
Who fills in a dental anxiety questionnaire, and when?
A patient who finds dental visits hard fills it in before the visit. Some clinic forms ask a few comfort questions inside the health history instead.
Is a dental anxiety questionnaire scored?
Not the set on this page. It has no scores; it records the patient's worries and wishes in their own words for the dental team to read.
Why does a practice ask about dental fears?
The answers show the dental team what worries a patient and what has helped before. The team decides with the patient how to plan the visit.
What comfort options can a patient mark?
Patient comfort forms list options such as explaining each step, an agreed stop signal, regular breaks, numbing gel, and music or headphones. The practice decides what it offers.
What happens after the patient answers?
The dental team reads the answers before the visit and decides with the patient what would help. The answers are not a diagnosis.
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.
