IBD New Patient Questionnaire
What an IBD new patient questionnaire asks, with sample questions on diagnosis, symptoms, medicines, and surgery.
An IBD new patient questionnaire records the patient's Crohn's disease or colitis history, bowel symptoms, medicines, and surgeries before a first IBD clinic visit. It's also called an IBD center questionnaire or an inflammatory bowel disease clinic intake.
IBD new patient questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on an IBD new patient 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 IBD new patient questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- Which type of IBD were you diagnosed with?IBD diagnosis
- What year were you diagnosed?IBD diagnosis
- How many bowel movements do you have daily?Bowel symptoms
- How would you describe your stools?Bowel symptoms
- Which IBD medicines do you take now?IBD medicines
- Which IBD medicines have you stopped, and why?IBD medicines
- Have you had surgery for IBD?Hospital care
- Have you stayed in the hospital for IBD?Hospital care
- Do you have joint pain or swelling?Other symptoms
- Have you had eye or skin problems?Other symptoms
- Which vaccines have you had, and when?Health history
- Has a relative had IBD or colon cancer?Health history
These are examples to read, not a form to fill in.
IBD new patient questionnaire: FAQ
What does an IBD new patient questionnaire ask?
The sample questions here are based on a Crohn's & Colitis Foundation clinician intake form and a Fiona Stanley Fremantle Hospitals Group (Perth, Australia) questionnaire. This page groups them into six areas: IBD diagnosis, bowel symptoms, IBD medicines, hospital care, other symptoms, and health history.
Who fills in an IBD new patient questionnaire, and when?
The patient, before the clinic visit. The Fiona Stanley Fremantle Hospitals Group questionnaire is an online pre-clinic form for patients already diagnosed with IBD.
Is it the same as a Crohn's disease questionnaire?
It covers Crohn's disease and ulcerative colitis together. The Fiona Stanley Fremantle Hospitals Group form asks for the diagnosis first, then has separate symptom questions for each.
Does it ask about problems outside the bowel?
Yes. The Crohn's & Colitis Foundation form lists mouth, eye, joint, skin, liver, and kidney problems, and whether they change when the disease is active.
Is there an IBD intake template?
The Crohn's & Colitis Foundation publishes an intake format for advanced practice providers and says it is not meant to be a template. The sample questions on this page show a typical set.
What happens after the IBD new patient questionnaire is completed?
The IBD team reviews the answers before the first visit. AI Doctor only collects them; it does not rate disease activity.
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.
