ENT Pre-Op Questionnaire
What an ENT pre-op questionnaire asks, the areas it covers, and sample questions for practice staff.
The ENT pre-op questionnaire on this page covers the health questions asked before ENT surgery: anesthesia history, bleeding, medicines, and sleep. The questions are a typical set built from Kaiser Permanente's pre-surgery questionnaire and ENT new patient forms.
ENT pre-op questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on an ENT pre-op 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 ENT pre-op questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- Have there been recent changes in your health?Health changes
- Is there any chance you could be pregnant?Health changes
- Have you had problems with anesthesia before?Anesthesia
- Has a relative had problems with anesthesia?Anesthesia
- Do you bruise or bleed easily?Bleeding
- Do you have a bleeding disorder?Bleeding
- Do you take aspirin, ibuprofen, or blood thinners?Medications
- Do you take herbal products or supplements?Medications
- Do you snore?Sleep
- Do you use a CPAP machine?Sleep
- Who will drive you home after surgery?Getting home
- Will someone stay with you that night?Getting home
These are examples to read, not a form to fill in.
ENT pre-op questionnaire: FAQ
What does an ENT pre-op questionnaire ask?
The sample questions on this page are built from Kaiser Permanente's pre-surgery questionnaire, UW Medicine's sinus surgery handout, and two ENT new patient forms. This page groups them into six areas: health changes, anesthesia, bleeding, medications, sleep, and getting home.
Who fills in an ENT pre-op questionnaire, and when?
The patient, before surgery. Kaiser Permanente asks patients to complete its questionnaire before the preoperative medicine appointment.
Do ENT new patient forms ask about anesthesia too?
Yes. NorthShore's ENT form asks about past problems with anesthesia, and the University of Michigan form asks about anesthesia problems in the family.
What does the form ask about medicines?
Whether the patient takes aspirin, ibuprofen, blood thinners, herbal products, or supplements. The avatar records the answers and never advises stopping or starting a medicine.
Is the ENT pre-op questionnaire the same as the consent form?
No. The consent discussion and the signature stay with the surgeon. The questionnaire only collects health information before surgery.
What happens after the form is completed?
The practice's team reviews the answers before surgery and decides on next steps. AI Doctor collects the answers and does not assess them.
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.
