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Custom Orthotics Podiatrist Questionnaire

What a custom orthotics podiatrist questionnaire asks, with sample questions on past orthotics, shoes, and daily activity.

A custom orthotics podiatrist questionnaire records the patient's main foot concern, past orthotics, usual shoes, daily activity, and medical history before an orthotics visit. The questions come from a foot assessment form with an orthotic history section and the Allina Health running injury form.

Patient answering custom orthotics podiatrist questions with the AI Doctor avatar at clinic check-in kiosks

Custom orthotics podiatrist questionnaire, handled by the AI Doctor avatar

AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a custom orthotics podiatrist questionnaire in the patient's own language, strictly following the practice's instructions.

Clinician reviewing a patient's custom orthotics podiatrist 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 custom orthotics podiatrist questionnaire questions

Typical questions, written out so you can see the level of detail. Every practice words its own form differently.

  • What is your primary concern about your feet?Main concern
  • What do you hope to achieve this visit?Main concern
  • Have you worn orthotics before?Past orthotics
  • Can you share details about those orthotics?Past orthotics
  • Which shoes do you wear most often?Shoes
  • Which shoes are most comfortable?Shoes
  • Do your activities stress your feet?Activity
  • How often are you on your feet daily?Activity
  • Do you have diabetes or arthritis?Medical history
  • Have you had foot, leg, or back surgery?Medical history
  • Have you been told one leg is shorter?Leg length
  • Who told you about the leg length difference?Leg length

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

Custom orthotics podiatrist questionnaire: FAQ

What does a custom orthotics podiatrist questionnaire ask?

The sample questions on this page are based on a foot assessment form with an orthotic history section and the Allina Health running injury form. This page groups them into six areas: main concern, past orthotics, shoes, activity, medical history, and leg length.

Who fills in a custom orthotics podiatrist questionnaire?

On the foot assessment form, the patient completes the first part. The clinician completes the history, exam, and treatment parts.

Does it replace the foot exam?

No. It covers the patient's history only, and foot measurements, the exam, and any gait assessment stay with the clinician.

Does the Allina Health form ask patients to bring shoes?

Yes. It asks running patients to bring all current running shoes and foot orthotic devices to the appointment.

Is there a custom orthotics podiatrist questionnaire template?

The sample questions on this page show a typical set.

What happens after the questionnaire is completed?

The clinician reviews the answers before the foot exam. AI Doctor only collects them; it does not recommend orthotics or shoes.

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 custom orthotics podiatrist questionnaire in Genesis AI Avatar Studio on a laptop