Fibromyalgia Questionnaire
What a fibromyalgia questionnaire asks, with sample questions on pain, sleep, daily life, and past care.
A fibromyalgia questionnaire records a patient's pain pattern, sleep, other symptoms, daily life, past care, and medicines before a pain clinic visit. These questions come from the OHSU and Stony Brook Medicine pain clinic forms, not from a dedicated fibromyalgia form.
Fibromyalgia questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a fibromyalgia 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 fibromyalgia 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.
- Where is your pain?Pain pattern
- Is your pain constant or intermittent?Pain pattern
- How much sleep do you average each night?Sleep
- Is your sleep disturbed at night?Sleep
- Have you noticed fatigue?Other symptoms
- Have you noticed memory loss?Other symptoms
- Has your job changed because of your pain?Daily life
- How many work days have you missed for pain?Daily life
- Have you been treated for fibromyalgia before?Past care
- Which specialists have you seen for this pain?Past care
- Which medicines do you take now?Medicines
- Which pain medicines have you tried before?Medicines
These are examples to read, not a form to fill in.
Fibromyalgia questionnaire: FAQ
What does a fibromyalgia questionnaire ask?
The sample questions on this page are based on the OHSU and Stony Brook Medicine pain clinic forms, not on a dedicated fibromyalgia form. This page groups them into six areas: pain pattern, sleep, other symptoms, daily life, past care, and medicines.
Who answers a fibromyalgia questionnaire?
The patient. The OHSU form asks patients to complete it before the appointment and to call first if they have difficulty.
Does it ask about sleep?
Yes. The OHSU form asks how much sleep a patient averages each night and whether sleep is disturbed.
Does it score or diagnose the condition?
No. The questions on this page record history only, and the practice's clinician decides what the answers mean.
Is there a template for it?
The sample questions on this page show a typical set. They come from general pain clinic forms; the Stony Brook Medicine form lists fibromyalgia among past conditions.
What happens after a fibromyalgia questionnaire is completed?
The practice's team looks over the answers ahead of the visit. AI Doctor only collects them and does not say whether a patient has the condition.
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.
