CRPS Questionnaire
What a CRPS questionnaire asks, with sample questions on how the pain began, the painful area, and past treatment.
A CRPS questionnaire records how complex regional pain syndrome pain began, how the area has changed, daily limits, and past treatment. These questions come from the OHSU and HSHS Center for Interventional Pain Management pain forms, not from a dedicated CRPS form.
CRPS questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a CRPS 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 CRPS questionnaire questions
Questions built from pain clinic intake forms, written out so you can see the level of detail. Every practice words its own form differently.
- When did your pain problems begin?Pain onset
- Did your pain begin after an accident or surgery?Pain onset
- Where is your pain?Pain description
- What does your pain feel like?Pain description
- Does light touch cause pain in that area?Painful area
- Have you had hair or nail changes there?Painful area
- Can you still do your daily activities?Daily life
- Has this problem affected your job?Daily life
- Have you had nerve blocks for this pain?Past treatment
- Have you had occupational therapy?Past treatment
- Which medicines do you take for your pain?Medicines
- Which pain medicines have you stopped, and why?Medicines
These are examples to read, not a form to fill in.
CRPS questionnaire: FAQ
What does a CRPS questionnaire ask?
The sample questions on this page are based on the OHSU and HSHS Center for Interventional Pain Management pain forms, not a CRPS form. This page groups them into six areas: pain onset, pain description, painful area, daily life, past treatment, and medicines.
Who answers a CRPS questionnaire?
The patient. The HSHS form starts with a body diagram for marking the painful areas, then asks how the pain started.
Does it ask how the pain began?
Yes. The OHSU form asks under what circumstances the pain began, with options such as an accident, surgery, or illness.
Does it ask about changes over the painful area?
Yes. The HSHS form asks about changes over the painful area, including hair or nail changes and pain from light touch.
Is the form a diagnostic test?
No. These questions record history only, and a clinician examines the patient and makes any diagnosis.
What happens after a CRPS questionnaire is completed?
The practice's clinician reads the answers and examines the patient. AI Doctor only collects them and does not suggest what is causing the pain.
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.
