Cardiac Surgery Pre-Op Questionnaire
What a cardiac surgery pre-op questionnaire asks, with sample questions on heart history, past tests, and medicines.
A cardiac surgery pre-op questionnaire records heart history, past heart tests, medicines, other conditions, and habits before a heart operation. The questions on this page are built from Weill Cornell Medicine's cardiothoracic surgery visit form and a pre-surgery questionnaire from The Queen's Health System.
Cardiac surgery pre-op questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a cardiac surgery pre-op 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 cardiac surgery pre-op 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 today's visit?Visit details
- Which physician referred you to us?Visit details
- Have you had a heart attack or angioplasty?Heart history
- Do you have a pacemaker or defibrillator?Heart history
- When and where was your last EKG?Past tests
- When was your last stress test or echo?Past tests
- Do you take a blood thinner?Medicines
- Do you take a steroid such as prednisone?Medicines
- Do you have diabetes or thyroid disease?Other conditions
- Do you have asthma, emphysema, or COPD?Other conditions
- Do you smoke, or when did you quit?Lifestyle
- How many alcoholic drinks do you have weekly?Lifestyle
These are examples to read, not a form to fill in.
Cardiac surgery pre-op questionnaire: FAQ
What does a cardiac surgery pre-op questionnaire ask?
The sample questions on this page are based on Weill Cornell Medicine's cardiothoracic surgery visit form and a pre-surgery questionnaire from The Queen's Health System. This page groups them into six areas: visit details, heart history, past tests, medicines, other conditions, and lifestyle.
Who fills in a cardiac surgery pre-op questionnaire, and when?
The patient, before the surgical visit. The Weill Cornell form asks patients not to leave boxes empty and to mark N/A or None where needed.
Does it ask about earlier heart tests?
Yes. The Queen's Health System questionnaire asks when and where the patient had their last EKG, chest X-ray, stress test or echo, and blood tests.
Does it ask which doctors the patient sees?
Yes. The Weill Cornell form lists the referring physician, primary care physician, pulmonologist, gastroenterologist, and cardiologist, and asks which other doctors receive copies of records.
Is there a cardiac surgery pre-op questionnaire template?
The sample questions on this page show a typical set. They come from a cardiothoracic surgery visit form and a pre-surgery center questionnaire.
What happens after the form is completed?
The practice's team reviews the answers before the visit. AI Doctor only collects them and leaves every clinical decision to the surgical team.
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.
