Melasma Questionnaire
What a melasma questionnaire can ask, with sample questions on sun habits, skin products, and past treatment.
The melasma questionnaire on this page covers dark patches on the skin, sun habits, pregnancy, skin products, and past treatment. Its questions are a typical set built from general dermatology intake forms.
Melasma questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a melasma 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 melasma questionnaire questions
General intake questions, written out so you can see the level of detail. Every practice words its own form differently.
- What is the main reason for your visit?Main concern
- When did you first notice the dark patches?Main concern
- How often do you use sunscreen?Sun exposure
- Have you ever used a tanning bed?Sun exposure
- Are you pregnant or planning a pregnancy?Women's health
- Do you take birth control pills?Women's health
- Which creams or lotions do you use?Skin products
- Which makeup products do you use?Skin products
- What have you tried for the dark patches?Past treatment
- Has a doctor treated them before?Past treatment
- Which medicines and supplements do you take?Medications
- Are you allergic to any medicines?Medications
These are examples to read, not a form to fill in.
Melasma questionnaire: FAQ
What does a melasma questionnaire ask?
The sample questions on this page are a typical set built from general dermatology intake forms. The sources are dermatology forms from Rockville Internal Medicine Group, Northwestern Medicine, and Weill Cornell, plus the Johns Hopkins Lupus Center form. This page groups them into six areas: main concern, sun exposure, women's health, skin products, past treatment, and medications.
Who answers a melasma questionnaire, and when?
The patient, before the visit. Each practice decides whether these questions sit inside its new patient form or in a separate set.
Do dermatology forms ask about sun habits?
Yes. The Rockville Internal Medicine Group dermatology questionnaire asks about sunscreen use, outdoor activity, how easily the patient burns or tans, and tanning beds.
What if a patient mentions a spot that is changing?
AI Doctor records the answer as given and does not judge what a spot means. The practice's team reviews every answer and decides on next steps.
Is there a melasma questionnaire template?
The sample questions on this page show a typical set. A practice can add them to its own dermatology intake form.
What happens after the patient answers?
The practice's team reads the answers before the visit. The avatar collects them and does not judge the skin or suggest 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.
