PCOS Questionnaire
What a PCOS questionnaire asks, with sample questions on periods, hair growth, acne, and weight.
A PCOS questionnaire records period patterns, excess hair growth, acne, weight changes, and gynecologic history when PCOS is a concern. Its questions are built from intake forms from University of Rochester Medical Center and Stanford Medicine Partners, not from a separate PCOS form.
PCOS questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a PCOS 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 PCOS questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- At what age did your periods begin?Periods
- Have you noticed any recent changes in your periods?Periods
- How many days are there between your periods?Cycle pattern
- How many days of bleeding do you have?Cycle pattern
- Is excess hair growth a concern for you?Body changes
- Is acne a problem for you now?Body changes
- Has your body weight changed recently?Other signs
- Do you have hot flashes?Other signs
- Have you been diagnosed with PCOS before?Gynecologic history
- Have you ever had ovarian cysts?Gynecologic history
- What birth control do you use now?Medicines
- Which medicines do you take, and at what dose?Medicines
These are examples to read, not a form to fill in.
PCOS questionnaire: FAQ
What does a PCOS questionnaire ask?
The sample questions on this page are built from intake forms from University of Rochester Medical Center and Stanford Medicine Partners. This page groups them into six areas: periods, cycle pattern, body changes, other signs, gynecologic history, and medicines.
Who answers a PCOS questionnaire, and when?
The patient, before the gynecology visit. The Stanford Medicine Partners form opens with the first day of the last period and the reason for the visit.
Is it the same as a polycystic ovary syndrome intake?
PCOS is short for polycystic ovary syndrome, so the names point to the same topic. The Stanford Medicine Partners form lists polycystic ovary syndrome among past or present gynecologic conditions.
Which signs besides periods does it record?
The University of Rochester Medical Center form asks about weight change, excess hair growth, acne, nipple discharge, and hot flashes.
Is there a PCOS questionnaire template?
The sample questions on this page show a typical set. They come from general gynecology and fertility intake forms, not from a PCOS-specific form.
What happens after the form is completed?
The practice's team reviews the answers before the visit. AI Doctor collects them and does not decide whether the symptoms point to PCOS.
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.
