Oral Surgery Anesthesia Questionnaire
What an oral surgery anesthesia questionnaire asks, why each part matters, and how oral surgery practices collect it.
An oral surgery anesthesia questionnaire records the health facts an oral surgeon needs before IV sedation or general anesthesia in the office. Oral surgeons and dental anesthesia providers use it before sedation.
Oral surgery anesthesia questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on an oral surgery anesthesia 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 oral surgery anesthesia questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- Have you had sedation or general anesthesia before?Anesthesia history
- Did you or a relative react badly to anesthesia?Anesthesia history
- Do you have high blood pressure or heart disease?Heart
- Can you climb two flights of stairs comfortably?Heart
- Do you have asthma or other breathing problems?Breathing
- Do you have sleep apnea or use CPAP?Breathing
- Which medicines and supplements do you take daily?Medications
- Are you allergic to any medicines or latex?Medications
- Do you smoke, vape, or use tobacco?Habits
- How many alcoholic drinks do you have weekly?Habits
- When did you last eat or drink?Surgery day
- Who will drive you home after sedation?Surgery day
These are examples to read, not a form to fill in.
Oral surgery anesthesia questionnaire: FAQ
What does an oral surgery anesthesia questionnaire ask?
It covers six areas: past anesthesia and sedation, heart health, breathing and sleep apnea, medications and allergies, habits, and the day of surgery.
Who fills in an oral surgery anesthesia questionnaire, and when?
The patient, or a parent or guardian, before the surgery date. The surgeon or anesthesia provider reviews the answers in advance.
Why does the practice need it before IV sedation?
The questionnaire collects past anesthesia problems, heart and breathing conditions, and sleep apnea before sedation. The surgeon or anesthesia provider plans the sedation with these answers.
Is it the same as the health history form?
No. The health history covers the patient's general medical background. The anesthesia questionnaire goes deeper on what matters for sedation: airway, heart, lungs, and past anesthesia.
Is there a standard oral surgery anesthesia questionnaire?
The sample questions on this page show a typical set. The practice's own sedation protocol decides what is asked.
What happens after the questionnaire?
The surgeon or anesthesia provider reviews the answers and confirms the fasting, medication, and ride-home instructions for the day of surgery.
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.
