Dermatology Acne Questionnaire
What a dermatology acne questionnaire asks, with sample questions for dermatologists and their staff.
A dermatology acne questionnaire, as set out here, records how long the patient has had acne, what they use now, and their treatment goals. The sample questions are based on the Acne Patient Questionnaire reprinted by Practical Dermatology.
Dermatology acne questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a dermatology acne 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 dermatology acne questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- How long have you had acne?Acne history
- Do you have acne scars or discoloration?Acne history
- Are your monthly periods regular?Periods
- Do you break out more around your period?Periods
- Which over-the-counter acne products do you use now?Products
- Which cleanser and moisturizer do you use?Products
- Which prescription acne treatments have you used?Prescriptions
- Did any of them cause side effects?Prescriptions
- Is your skin oily, dry, normal, or combination?Skin type
- What, if anything, is your skin sensitive to?Skin type
- Which acne treatments would you like to discuss?Goals
- How much improvement would count as success?Goals
These are examples to read, not a form to fill in.
Dermatology acne questionnaire: FAQ
What does a dermatology acne questionnaire ask?
The sample questions on this page are based on the Acne Patient Questionnaire by Steven Leon, PA-C, reprinted by Practical Dermatology. This page groups them into six areas: acne history, periods, products, prescriptions, skin type, and goals.
Who fills in a dermatology acne questionnaire?
The patient, at an acne visit. The Practical Dermatology form asks the period questions of female patients only.
Why does it ask what improvement the patient expects?
The Practical Dermatology form asks patients to pick the improvement, from 30% to 100%, they would count as a success. The practice's team reads it with the rest of the answers.
Is it the same as an isotretinoin follow-up questionnaire?
No. The acne questionnaire comes at the visit where treatment is discussed. An isotretinoin follow-up questionnaire is used at check-ins during treatment.
Is there a dermatology acne questionnaire template?
Practical Dermatology reprinted Steven Leon's one-page form, which this page draws on. Each practice words its own version.
What happens after the questions are answered?
The practice's team reviews the answers before the visit. AI Doctor collects them and does not recommend a treatment.
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.
