Foot Pain Questionnaire
What a foot pain questionnaire asks, with sample questions on location, triggers, and past treatment.
A foot pain questionnaire records where the foot hurts, when it started, what makes it better or worse, and past treatment before a visit. These questions are built from the MarinHealth foot and ankle history form, the Hunterdon Health podiatry form, and a foot and ankle clinic's questionnaire.
Foot pain questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a foot pain 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 foot pain questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- Which foot is causing the problem?Location
- Where do you feel the pain?Location
- When did you start to have pain?Onset
- Is it related to your job or a sport?Onset
- How do you describe the pain?Pain
- Can you rate your pain from 0 to 10?Pain
- What makes the pain worse?Triggers
- What makes the pain better?Triggers
- What treatments have you tried?Past care
- Which other providers have you seen for this?Past care
- How does it affect your job or activities?Daily life
- What trouble are you having with shoes?Daily life
These are examples to read, not a form to fill in.
Foot pain questionnaire: FAQ
What does a foot pain questionnaire ask?
The sample questions on this page are built from MarinHealth and Hunterdon Health forms and a foot and ankle clinic's questionnaire. This page groups them into six areas: location, onset, pain, triggers, past care, and daily life.
Who fills in a foot pain questionnaire, and when?
The patient, before the exam. The MarinHealth form also asks patients to list three main concerns for the visit.
Does a foot pain questionnaire use a pain scale?
The MarinHealth form asks for a 0 to 10 rating of pain right now. It adds a faces scale for a child or an adult who doesn't speak English.
Which parts of the foot does it cover?
The MarinHealth form lists the ankle areas, the mid-foot, the arch, and the Achilles or heel, with space for another location.
Is there a template for this form?
The sample questions on this page show a typical set.
What happens after the form is completed?
The clinician's team reviews the form before the exam. AI Doctor only collects the answers; it does not work out why the foot hurts.
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.
