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Spinal Cord Stimulator Evaluation Questionnaire

What a spinal cord stimulator evaluation questionnaire asks, with sample questions on pain, past treatments, and implanted devices.

A spinal cord stimulator evaluation questionnaire records a patient's pain, past treatments, implanted devices, medicines, and health history before a pain team visit. These questions come from OHSU and Stony Brook Medicine pain forms and a Hull University Teaching Hospitals (UK) diary, not a dedicated form.

Patient answering spinal cord stimulator evaluation questionnaire questions with the AI Doctor avatar at clinic check-in kiosks

Spinal cord stimulator evaluation questionnaire, handled by the AI Doctor avatar

AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a spinal cord stimulator evaluation questionnaire in the patient's own language, strictly following the practice's instructions.

Clinician reviewing a patient's spinal cord stimulator evaluation questionnaire answers collected by the AI Doctor avatar
  • 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 spinal cord stimulator evaluation questionnaire questions

Questions built from pain clinic forms and patient information, written out so you can see the level of detail. Every practice words its own form differently.

  • What is the main reason for your referral?Pain history
  • Where is your pain?Pain history
  • How do you rate last week's pain?Pain rating
  • How would you rate your pain right now?Pain rating
  • Have you tried a spinal cord stimulator before?Past treatments
  • Which injections or nerve blocks have you had?Past treatments
  • Do you have any implanted medical devices?Implanted devices
  • Do you have a pacemaker?Implanted devices
  • Which medicines do you take, and how often?Medicines
  • Do you take any blood thinners?Medicines
  • Do you have diabetes?Health history
  • Which surgeries have you had?Health history

These are examples to read, not a form to fill in.

Spinal cord stimulator evaluation questionnaire: FAQ

What does a spinal cord stimulator evaluation questionnaire ask?

The sample questions on this page are based on general OHSU and Stony Brook Medicine pain forms and a Hull University Teaching Hospitals (UK) diary. This page groups them into six areas: pain history, pain rating, past treatments, implanted devices, medicines, and health history.

Who answers a spinal cord stimulator evaluation questionnaire?

The patient. The Hull University Teaching Hospitals (UK) diary has the patient record pain and current medicines at baseline, before the trial starts.

Does it decide who gets a stimulator?

No. The practice's clinicians and the patient decide together what comes next.

Does it ask about implanted devices?

Yes. The OHSU form asks about devices such as an infusion pump, a spinal cord stimulator, rods, or a pacemaker.

Is it the consent form?

No. The consent discussion and the signature stay with the clinician.

What happens after a spinal cord stimulator evaluation questionnaire is completed?

The pain team reviews the answers before the visit. AI Doctor only collects them and does not comment on the device or the trial.

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.

  1. 01Choose the AI Doctor avatar.
  2. 02Add your practice's FAQs and visit information.
  3. 03Talk to it, then publish it.
Setting up AI Doctor for the spinal cord stimulator evaluation questionnaire in Genesis AI Avatar Studio on a laptop