Vaginal Symptoms Questionnaire
What a vaginal symptoms questionnaire asks, with sample questions on symptoms, products, and history.
A vaginal symptoms questionnaire records the main problem, symptoms such as itching or discharge, products used, and earlier vulvovaginal diagnoses before a gynecology visit. It's also called a vaginitis intake.
Vaginal symptoms questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a vaginal symptoms 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 vaginal symptoms questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- In a few words, what is your main problem?Main problem
- When did your symptoms first start?Main problem
- Do you have itching, burning, or irritation?Symptoms
- Do you notice any discharge or odor?Symptoms
- Are symptoms present all or some of the time?Pattern
- What makes your symptoms worse?Pattern
- What have you tried to ease your symptoms?Treatments tried
- Which medicines and doses do you use now?Treatments tried
- Which soap and detergent brands do you use?Products used
- Do you wear daily panty liners?Products used
- Have you had yeast or bacterial vaginosis before?Past history
- Have you ever had a vulvar biopsy?Past history
These are examples to read, not a form to fill in.
Vaginal symptoms questionnaire: FAQ
What does a vaginal symptoms questionnaire ask?
The sample questions on this page are based on a gynecology practice's vulvovaginal questionnaire and the Fairfax County Health Department sexual health history. This page groups them into six areas: main problem, symptoms, pattern, treatments tried, products used, and past history.
Who answers a vaginal symptoms questionnaire, and when?
The patient, before the visit. The vulvovaginal practice's packet asks patients to return the completed questionnaire with any outside records about the problem.
Is it the same as a vaginitis intake?
It overlaps. The vulvovaginal questionnaire covers infections such as yeast and bacterial vaginosis, and also skin conditions such as lichen sclerosus.
Does it ask about everyday products?
Yes. The vulvovaginal questionnaire asks for the brands of bath soap, detergent, fabric softener, pads, tampons, panty liners, and wipes the patient uses.
Is there a vaginal symptoms questionnaire template?
The sample questions on this page show a typical set.
What happens after the form is completed?
The practice's team reviews the answers before the visit. AI Doctor records the symptoms the patient describes and does not suggest a cause or a test.
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.
