Colon Cancer Screening Questionnaire
What a colon cancer screening questionnaire asks, with sample questions on past tests, polyps, and family history.
A colon cancer screening questionnaire records past colonoscopies and stool tests, polyps, bowel disease, and family history of colorectal cancer. Its questions come from the colon cancer sections of colonoscopy and GI health history forms.
Colon cancer screening questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a colon cancer screening 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 colon cancer screening questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- Have you ever had a colonoscopy?Past screening
- When and where was your last colonoscopy?Past screening
- Have you had a home stool test?Stool tests
- Was a stool test result ever positive?Stool tests
- Have you ever had precancerous colon polyps?Polyp history
- Has a close relative had colon polyps?Polyp history
- Have you ever had colorectal cancer?Personal history
- Do you have Crohn's disease or ulcerative colitis?Personal history
- Has a parent, sibling, or child had colorectal cancer?Family history
- How old was that relative at diagnosis?Family history
- Has a close relative had ovarian or uterine cancer?Other cancers
- Have you ever had any other cancer?Other cancers
These are examples to read, not a form to fill in.
Colon cancer screening questionnaire: FAQ
What does a colon cancer screening questionnaire ask?
The sample questions on this page are based on colon cancer questions in HealthPartners, Beebe Healthcare, University of Iowa Health Care, and GI practice forms. This page groups them into six areas: past screening, stool tests, polyp history, personal history, family history, and other cancers.
Who answers colon cancer screening questionnaire questions?
The patient, as part of a colonoscopy or GI history form. On the HealthPartners form, these questions are for patients who are having a colonoscopy.
Why does it ask about family history?
A gastroenterology practice's endoscopy health history form calls family history an important risk for colon cancer.
Is it the same as a colon cancer risk assessment?
It can be. The same endoscopy health history form says its questions can help the physician determine the patient's risk, and the physician decides what the answers mean.
Is there a colon cancer screening questionnaire template?
The sample questions on this page show a typical set; here they come from colonoscopy and GI history forms.
What happens after the form is completed?
The practice's team reviews the answers with the rest of the patient's history. AI Doctor records them; it does not judge the patient's risk.
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.
