Constipation Questionnaire
What a constipation questionnaire asks, with sample questions on bowel habits, straining, laxatives, and diet.
A constipation questionnaire records how long constipation has lasted, bowel movement frequency, straining, laxative use, diet, and health history before a visit. The questions on this page come from the bowel symptom sections of hospital and gastroenterology intake forms.
Constipation questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a constipation 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 constipation 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 constipation?Symptom history
- What diagnosis, if any, have you been given?Symptom history
- How often do you have a bowel movement?Bowel pattern
- Are your stools hard or pellet-like?Bowel pattern
- Do you strain to have a bowel movement?Discomfort
- Are your bowel movements painful?Discomfort
- Do you take laxatives or enemas regularly?Laxatives
- How often do you use laxatives or enemas?Laxatives
- Do you include fiber in your diet?Diet
- Do you follow any special diet?Diet
- Which medicines and supplements do you take now?Health history
- Have you had abdominal or pelvic surgery?Health history
These are examples to read, not a form to fill in.
Constipation questionnaire: FAQ
What does a constipation questionnaire ask?
The sample questions here are based on the Bozeman Health Pelvic Floor Symptom Questionnaire and the Stanford Health Care Digestive Health New Patient Questionnaire. This page groups them into six areas: symptom history, bowel pattern, discomfort, laxatives, diet, and health history.
Who answers these questions, and when?
The patient, before a visit about constipation. The Bozeman Health form places its bowel questions inside a pelvic floor symptom questionnaire.
Does it ask about laxatives and enemas?
Yes. The Bozeman Health form asks whether the patient takes laxatives or enemas regularly and how often, and the patient also lists current medicines.
Does a constipation questionnaire use diagnostic criteria?
These questions record bowel habits and what the patient has tried; they are not a checklist for any diagnosis. The clinician decides what the answers mean.
Is there a constipation questionnaire template?
The sample questions on this page show a typical set, taken from the bowel sections of real intake forms.
What happens after the patient answers?
The practice's team reviews the answers before the visit. AI Doctor only asks the questions and records the replies; it does not suggest laxatives or diet changes.
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.
