Bariatric Psychological Evaluation Questionnaire
What a bariatric psychological evaluation questionnaire asks, with sample questions on mental health care, eating history, and home life.
A bariatric psychological evaluation questionnaire records mental health care, past treatment, eating history, substance use, and home life before weight loss surgery. The questions come from bariatric program questionnaires at Lahey Hospital & Medical Center, University of Iowa Hospitals & Clinics, and Lakewood Health System.
Bariatric psychological evaluation questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a bariatric psychological evaluation 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 bariatric psychological evaluation questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- Do you see a psychiatrist?Current care
- Do you see a therapist, psychologist, or social worker?Current care
- Have you been hospitalized for a mental health condition?Past treatment
- Do you take medicine for a mental health condition?Past treatment
- Are you on a special diet right now?Eating history
- Have you been in an eating disorder program?Eating history
- Do you drink alcohol, and how much?Substance use
- Do you use recreational drugs?Substance use
- Who do you live with?Home life
- Are you married or in a committed relationship?Home life
- How do you learn best?Learning
- Do you have any barriers to learning?Learning
These are examples to read, not a form to fill in.
Bariatric psychological evaluation questionnaire: FAQ
What does a bariatric psychological evaluation questionnaire ask?
The sample questions on this page are based on questionnaires from Lahey Hospital & Medical Center, University of Iowa Hospitals & Clinics, and Lakewood Health System. This page groups them into six areas: current care, past treatment, eating history, substance use, home life, and learning.
Who fills in a bariatric psychological evaluation questionnaire?
The patient, before the program visits. Lakewood Health System asks patients to bring the names and phone numbers of any psychologist, psychiatrist, or treatment program they have seen.
Is this the psychological evaluation itself?
No. These are history questions; Lakewood Health System's referral sheet lists a psychological evaluation as a separate step, next to medical and nutrition evaluations.
Does it ask how the patient learns best?
Yes. The Lahey form asks about education level, barriers to learning, how the patient learns best, and anything preventing learning right now.
Is there a bariatric psychological evaluation questionnaire template?
The sample questions on this page show a typical set of history questions. They do not include scored screening questionnaires.
What happens with the answers?
The program's team reviews them. AI Doctor only collects the answers; it does not assess mental health or make a recommendation about surgery.
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.
