IBD Surgery Consultation Questionnaire
What an IBD surgery consultation questionnaire asks, with sample questions on bowel disease history, past surgery, and medicines.
The IBD surgery consultation questionnaire on this page covers Crohn's disease or ulcerative colitis history, past operations, medicines, and general health before a surgical visit. The questions come from a Rutgers Robert Wood Johnson Medical School colorectal surgery questionnaire and the Crohn's & Colitis Foundation's IBD form for clinicians.
IBD surgery consultation questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on an IBD surgery consultation 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 IBD surgery consultation questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- Who is your gastroenterologist?Referral
- What is the reason for your visit?Referral
- Do you have Crohn's disease or ulcerative colitis?IBD history
- Which part of your bowel is affected?IBD history
- Which abdominal surgeries have you had, and when?Past surgery
- Do you have an ostomy or a J-pouch?Past surgery
- Which IBD medicines have you taken before?Medicines
- Which medicines have you taken in the past year?Medicines
- What other conditions have you ever had?Health history
- Do you have any allergies?Health history
- Has anyone in your family had Crohn's or colitis?Family history
- Has a relative had problems with anesthesia?Family history
These are examples to read, not a form to fill in.
IBD surgery consultation questionnaire: FAQ
What does an IBD surgery consultation questionnaire ask?
The sample questions on this page are based on a Rutgers Robert Wood Johnson Medical School colorectal surgery questionnaire and the Crohn's & Colitis Foundation's IBD form for clinicians. This page groups them into six areas: referral, IBD history, past surgery, medicines, health history, and family history.
Who fills in the questionnaire, and when?
The patient, before the visit with the colorectal surgeon. The Rutgers questionnaire ends with a signature line for the patient and one for the physician.
Does it ask about past bowel surgery?
Yes. The Crohn's & Colitis Foundation form asks for the date and type of each abdominal surgery, how much bowel was removed, and any ostomy or J-pouch.
Does it ask about family history?
Yes. The Rutgers questionnaire asks whether anyone in the family has had colorectal cancer, polyps, Crohn's disease or ulcerative colitis, or problems with anesthesia.
Is there an IBD surgery consultation questionnaire template?
The sample questions on this page show a typical set. The Crohn's & Colitis Foundation says its own form is not meant to be a template, but a format to consider.
What happens after the IBD surgery consultation questionnaire is completed?
The surgical team reviews the answers before the consultation. AI Doctor only collects them; it does not advise on IBD medicines or 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.
