Prenatal Genetic Screening Questionnaire
What a prenatal genetic screening questionnaire asks, with sample questions on ancestry, family history, and earlier tests.
A prenatal genetic screening questionnaire records ancestry, family history of genetic conditions, earlier tests, and how the pregnancy started, for review at a genetics visit. It's also called a genetic screening questionnaire.
Prenatal genetic screening questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a prenatal genetic screening 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 prenatal genetic screening questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- What is your occupation?Your details
- Which pronouns do you use?Your details
- Is either biological parent Jewish, Cajun, or French Canadian?Background
- Are the biological parents related by blood?Background
- Has either biological parent's family had cystic fibrosis?Family history
- Has either biological parent's family had stillbirth or miscarriages?Family history
- Has either biological parent had genetic tests before?Genetic tests
- Have you had cell-free DNA screening this pregnancy?Genetic tests
- Did this pregnancy start through IVF?This pregnancy
- Was a sperm donor or egg donor used?This pregnancy
- Have you used medications, tobacco, alcohol, or drugs?Health history
- Do you have any type of diabetes?Health history
These are examples to read, not a form to fill in.
Prenatal genetic screening questionnaire: FAQ
What does a prenatal genetic screening questionnaire ask?
The sample questions on this page are based on the Prenatal Genetic Screening Questionnaires of Stanford Medicine Children's Health and El Camino Health. This page groups them into six areas: your details, background, family history, genetic tests, this pregnancy, and health history.
Who fills in a prenatal genetic screening questionnaire?
The patient. Stanford's version is signed by the patient and by a genetic counselor, who reviews it at the clinic visit.
Does it ask about both biological parents?
Yes. El Camino Health's version asks about the ancestry and family history of both biological parents of the pregnancy, and a partner's name is optional.
Is it the same as a carrier screening history?
Partly. Both versions ask whether either biological parent has had genetic tests, such as cystic fibrosis or sickle cell screening, alongside ancestry and family history.
Does a prenatal genetic screening questionnaire ask about IVF?
Yes. Both versions ask whether the pregnancy started through IVF or other reproductive technology, and whether a sperm donor, egg donor, or ICSI was used.
Does AI Doctor interpret genetic risk?
No. AI Doctor only asks the questions and records the answers; the practice's team, such as a genetic counselor, reviews them.
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.
