Egg Freezing Consultation Questionnaire
What an egg freezing consultation questionnaire asks, who fills it in, and sample questions.
The egg freezing consultation questionnaire on this page covers the visit reason, periods, pregnancy history, health, medications, and lifestyle before a first visit. The questions are a typical set built from the Stanford Medicine Children's Health female patient questionnaire.
Egg freezing consultation questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on an egg freezing consultation 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 egg freezing consultation questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- What is the reason for your consultation?Visit reason
- Who referred you to our practice?Visit reason
- How old were you at your first period?Periods
- How long do your periods last?Periods
- Have you ever been pregnant?Pregnancy history
- What was the outcome of each pregnancy?Pregnancy history
- Have you had chemotherapy for cancer?Medical history
- Have you had endometriosis or ovarian cysts?Medical history
- Do you take any prescription medications?Medications
- Do you take supplements or herbal remedies?Medications
- Do you smoke?Lifestyle
- How many alcoholic drinks do you have weekly?Lifestyle
These are examples to read, not a form to fill in.
Egg freezing consultation questionnaire: FAQ
What does an egg freezing consultation questionnaire ask?
The sample questions on this page are a typical set built from the Stanford Medicine Children's Health female patient questionnaire. This page groups them into six areas: visit reason, periods, pregnancy history, medical history, medications, and lifestyle.
Who fills in an egg freezing consultation questionnaire, and when?
The patient, before the first egg freezing consultation.
Is it the same as the egg freezing consent?
No. This questionnaire collects health history before the consultation, while the egg freezing consent is a separate document signed with the physician.
Is there a standard egg freezing consultation questionnaire?
The sample questions on this page show a typical set, and each clinic words its own intake form.
Does the questionnaire ask about cancer?
Yes. The Stanford questionnaire asks about chemotherapy for cancer, and fertility preservation before chemotherapy has its own page.
What happens after the questionnaire is completed?
The practice's team reviews the answers before the visit. AI Doctor only asks the questions; it does not comment on tests or timing.
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.
