Cataract Surgery Pre-Op Questionnaire
What a cataract surgery pre-op questionnaire asks, with sample questions on health, medicines, and vision goals.
A cataract surgery pre-op questionnaire records the patient's eye history, general health, medicines, allergies, and vision goals before cataract surgery. The questions on this page are built from a surgery center's health assessment form and two cataract questionnaires.
Cataract surgery pre-op questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a cataract surgery pre-op 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 cataract surgery pre-op questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- Have you had any eye surgery or laser treatment?Eye history
- Do you have any other eye conditions?Eye history
- Do you have diabetes or high blood pressure?General health
- Can you lie flat for about 30 minutes?General health
- Do you take aspirin or another blood thinner?Medicines
- Do you take tamsulosin or another prostate medicine?Medicines
- Are you allergic to any medicines?Allergies
- Are you allergic to local anesthetic?Allergies
- Will you be able to put in eye drops?Practical needs
- Do you need an interpreter at the visit?Practical needs
- Would you like to see far without glasses?Vision goals
- Which daily activities matter most for your vision?Vision goals
These are examples to read, not a form to fill in.
Cataract surgery pre-op questionnaire: FAQ
What does a cataract surgery pre-op questionnaire ask?
The sample questions on this page are based on an eye surgery center's health assessment and two cataract questionnaires. This page groups them into six areas: eye history, general health, medicines, allergies, practical needs, and vision goals.
Who fills in a cataract surgery pre-op questionnaire, and when?
The patient, before the surgery date. A UK cataract self-assessment questionnaire says a family member or friend can help if needed.
Does it ask about prostate medicines?
Yes. The UK self-assessment questionnaire lists tamsulosin among its medicine questions, and an eye surgery center's form asks about medication for the prostate.
Does it ask about vision goals after surgery?
It can. An eye practice's vision preference questionnaire asks whether the patient would rather not wear glasses for distance or near, and which activities matter most.
Is there a cataract surgery pre-op questionnaire template?
The sample questions on this page show a typical set.
What happens after the form is completed?
The surgery team reviews the answers before the procedure. AI Doctor only collects them and does not advise on medicines.
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.
