Abdominal Aortic Aneurysm Screening Questionnaire
What an abdominal aortic aneurysm screening questionnaire asks, with sample questions on family history, smoking, and risk factors.
An abdominal aortic aneurysm screening questionnaire records family history of aneurysm, smoking, blood pressure, cholesterol, and past vascular care before a vascular visit. The questions on this page come from vascular clinic forms used by Allina Health's Minneapolis Heart Institute and MarinHealth Medical Network.
Abdominal aortic aneurysm screening questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on an abdominal aortic aneurysm screening 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 abdominal aortic aneurysm screening questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- What is the reason for your visit today?Visit details
- Which doctor referred you to the clinic?Visit details
- Has a parent or sibling had an aortic aneurysm?Family history
- Does heart disease run in your family?Family history
- Have you ever been a smoker?Smoking
- How many years did you smoke?Smoking
- Have you been treated for high blood pressure?Risk factors
- Have you ever had high cholesterol?Risk factors
- Have you ever had vascular surgery before?Vascular history
- Have you had heart surgery or angioplasty?Vascular history
- Are you allergic to x-ray contrast dye?Allergies
- Do you have any known drug allergies?Allergies
These are examples to read, not a form to fill in.
Abdominal aortic aneurysm screening questionnaire: FAQ
What does an abdominal aortic aneurysm screening questionnaire ask?
The sample questions on this page are based on the Allina Health Minneapolis Heart Institute vascular consult questionnaire and the MarinHealth Medical Network vascular medicine health history form. This page groups them into six areas: visit details, family history, smoking, risk factors, vascular history, and allergies.
Is an abdominal aortic aneurysm screening questionnaire a test?
No. It records history and risk factors only.
Does it ask about family history of aneurysm?
The Minneapolis Heart Institute form asks whether a mother, father, sister, or brother has had an abdominal aortic aneurysm. The MarinHealth form asks about an aortic aneurysm anywhere in the family.
How does it record smoking?
The Minneapolis Heart Institute form asks about cigarettes, cigars, and smokeless tobacco, packs per day, years smoked, and the years the patient started and stopped.
Who fills in an abdominal aortic aneurysm screening questionnaire?
The patient, before a vascular visit. Both forms also ask for the primary care physician and the reason for the visit.
What happens after the form is completed?
The vascular team reviews the answers before the visit. AI Doctor only collects them; it does not assess aneurysm risk.
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.
