Gastroparesis Questionnaire
What a gastroparesis questionnaire asks, with sample questions on weight change, visits, tests, and medicines tried.
A gastroparesis questionnaire records weight change, doctor and hospital visits for symptoms, earlier stomach tests, abdominal surgery, and medicines tried before a gastroenterology visit. The questions on this page are based on a gastroenterology practice's gastroparesis intake form.
Gastroparesis questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a gastroparesis 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 gastroparesis questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- Has your weight changed recently?Weight
- By how many pounds, and over how many weeks?Weight
- How many doctor visits for symptoms last year?Visits
- How many ER or hospital visits last year?Visits
- Have you had a gastric emptying study?Past tests
- Have you had an upper endoscopy (EGD)?Past tests
- Have you had abdominal surgery?Surgery
- Which procedure was it, and when?Surgery
- Which nausea or stomach-emptying medicines have you tried?Medicines
- What dose did you take, and for how long?Medicines
- Who is your primary care physician?Referral
- Which specialist referred you to the practice?Referral
These are examples to read, not a form to fill in.
Gastroparesis questionnaire: FAQ
What does a gastroparesis questionnaire ask?
The sample questions here are based on a gastroenterology practice's gastroparesis intake form. This page groups them into six areas: weight, visits, past tests, surgery, medicines, and referral.
Who fills in a gastroparesis questionnaire?
The patient, before a gastroenterology visit about gastroparesis. The practice's form also asks for the primary care physician and the referring specialist.
Does it ask about medicines already tried?
Yes. The practice form lists nausea and stomach-emptying medicines, such as metoclopramide and ondansetron, with the dose and how long each was taken.
Does it ask about earlier visits for symptoms?
Yes. The practice's form asks how many doctor visits and ER or hospital visits the patient had in the last year because of symptoms.
Is there a gastroparesis questionnaire template?
The sample questions on this page show a typical set, drawn from a gastroenterology practice's intake form.
What happens after the answers are in?
The practice's team reviews them before the visit. AI Doctor only records the answers; it does not judge symptom severity or test results.
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.
