GI Nutrition Assessment Questionnaire
What a GI nutrition assessment questionnaire asks, with sample questions on symptoms, supplements, and eating habits.
A GI nutrition assessment questionnaire records a patient's health goals, supplements, digestive symptoms, and eating habits before a nutrition visit at a gastroenterology practice. It's also called a dietitian GI intake.
GI nutrition assessment questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a GI nutrition assessment 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 GI nutrition assessment questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- What health concerns bring you in today?Health goals
- What are your goals for this visit?Health goals
- Which vitamins or minerals do you take regularly?Supplements
- Do you take probiotics or herbal supplements?Supplements
- How often do you have bloating?Digestive health
- Do you have any food allergies or intolerances?Digestive health
- Have you been diagnosed with IBS or IBD?Health conditions
- Have you been diagnosed with anemia or diabetes?Health conditions
- How many meals do you eat per day?Eating habits
- Do you follow a special diet?Eating habits
- Who does the grocery shopping and cooking?Food access
- Do you have trouble getting healthy foods?Food access
These are examples to read, not a form to fill in.
GI nutrition assessment questionnaire: FAQ
What does a GI nutrition assessment questionnaire ask?
The sample questions on this page are based on a gastroenterology practice's nutrition services questionnaire. This page groups them into six areas: health goals, supplements, digestive health, health conditions, eating habits, and food access.
Who fills in a GI nutrition assessment questionnaire, and when?
The patient, before a nutrition visit. The practice's form ends with the patient's signature and the date.
Does it ask about health conditions?
Yes. The practice's form has a checklist of conditions, including anemia, diabetes, and inflammatory bowel disease.
Does it ask what the patient eats in a day?
Yes. The practice's form has space to describe a typical day: breakfast, lunch, dinner, and snacks.
Does it ask about drinks and alcohol?
Yes. It asks which drinks the patient has and how many ounces a day, from water and coffee to soda, and whether the patient drinks alcohol.
What happens after the GI nutrition assessment questionnaire is completed?
The practice's nutrition team reviews the answers before the visit. AI Doctor only collects them; it does not give diet advice.
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.
