IBS Questionnaire
What an IBS questionnaire asks, with sample questions on bowel pattern, bloating, food triggers, and daily life.
An IBS questionnaire records bowel symptoms, bloating, possible food triggers, earlier tests and treatment, and how symptoms affect daily life before a gastroenterology visit. The questions on this page come from gastroenterology new patient forms and IBS intake templates.
IBS questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on an IBS 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 IBS questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- When did your symptoms first start?Symptom history
- Has a doctor diagnosed IBS before?Symptom history
- How many bowel movements a day is typical?Bowel pattern
- Do you rush to reach the toilet?Bowel pattern
- How bothersome is bloating for you?Bloating
- Have you noticed changes in gas?Bloating
- Which foods seem to set off symptoms?Diet
- Have you cut any foods from your diet?Diet
- Which tests have you had for these symptoms?Prior care
- Which treatments have you tried so far?Prior care
- Do symptoms limit your daily activities?Daily life
- Is stress at work or home affecting you?Daily life
These are examples to read, not a form to fill in.
IBS questionnaire: FAQ
What does an IBS questionnaire ask?
The sample questions on this page are based on the Stanford Health Care Digestive Health New Patient Questionnaire and IBS intake templates from form vendors. This page groups them into six areas: symptom history, bowel pattern, bloating, diet, prior care, and daily life.
Who fills in an IBS questionnaire, and when?
The patient, before a gastroenterology visit about ongoing bowel symptoms. The Stanford Health Care form also asks what diagnosis, if any, the patient has already been given.
Does an IBS questionnaire diagnose IBS?
The sample questions on this page are not a diagnostic checklist. They record symptoms and history, and the clinician decides what they mean.
Does it ask about food?
Yes. One IBS intake template covers pain triggers and dietary restrictions, and a gastroenterology practice's form asks whether the patient follows a special diet.
Is there a template for this questionnaire?
The sample questions on this page show a typical set.
What happens after the questionnaire is completed?
The practice's team reviews the answers before the visit. AI Doctor only gathers them; it does not label a bowel pattern or suggest a diet.
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.
