Get Access to World’s largest Template Library & Tools

Table of Contents

  1. 5 Steps to Writing a Medical Questionnaire
  2. 10+ Medical Questionnaire Templates
  3. 2. Itemized Complete Medical Questionnaire
  4. 3. Employee and Family Medical Questionnaire
  5. 4. General Medical Disclosure Questionnaire
  6. 5. Medical Questionnaire For Accommodation Request
  7. 6. Downloadable Group Medical Questionnaire
  8. 7. Pre-Employment Medical Evaluation Questionnaire
  9. 8. General Medical History Questionnaire
  10. 9. Standard Medical Questionnaire Format
  11. 10. Basic Medical Questionnaire Example
  12. 11. Professional Medical Wellness Questionnaire

10+ Best Medical Questionnaire Templates

Questionnaires are usually expected to be used in tests and examinations for different purposes, however, the purpose of a medical questionnaire is not to provide grades or marks. A medical questionnaire exists for potential patients to tick off their symptoms or mention symptoms of potential illness. A questionnaire eases the procedure by providing the patient of a list of symptoms they might be having. They can highlight their symptoms so that doctors can make a generalized assumption. Writing a medical questionnaire template requires concentration and efficiency, you must know how to execute it properly.

5 Steps to Writing a Medical Questionnaire

Step 1: Refrain from Design

A medical questionnaire is not a matter of creativity and not an outlet for you to show the same. When writing a medical questionnaire, make sure that you do everything to make it efficient, not attractive. The questionnaire has to help patients in immediate danger and pain, so, make sure the questionnaire is plain and to the point.

Step 2: Create Several Subsections

A medical institution deals with several illnesses and dangers. This entails that people with a diverse set of pains might visit the hospital. It is important that you use subsections of generalised values and place illnesses below the subsections, making sure that patients know where to look when coming to seek medical help, simplifying the procedure.

Step 3: Use Bold Letters

When you are interacting with patients using a medical questionnaire, you have to be clear with your fonts so that the questionnaire is easy to read and doesn’t require any additional assistance. Use Bold letters to make sure that patients can read the questionnaire correctly and know what they are getting into with the treatment.

Step 4: Easy Language

You have to interact with a lot of people through a questionnaire and medical terms are confusing as is. You have to ensure that your questionnaire has easy language and gets to the point directly. Again, this will help the patient understand his/her symptoms better without needing any added assistance from the hospital. Easy language also prevents confusions from forming.

Step 5: Patient Details

Last but not least, don’t forget to create a section for customers to fill in their details. Medical questionnaires are mass produced and personalizing them from your end is a redundant thought. Make sure to create a section for potential customers to write their name, phone numbers and address among other things to locate the patient in question better and avoid any confusion.

10+ Medical Questionnaire Templates

1. Simple Medical Questionnaire Format

simple medical questionnaire formatnsca.com
Details
File Format
  • PDF

Size: 26 KB

Download Now

This medical questionnaire is ripe with details and is incredibly efficient. The template has subsections covering your family history and your activity. The questionnaire template also has space for you to mention your preferred guardian in case of an emergency. The template is free to download and use.

2. Itemized Complete Medical Questionnaire

itemized complete medical questionnairegatewayhealth.ca
Details
File Format
  • PDF

Size: 44 KB

Download Now

The medical questionnaire template is quite elaborate in nature and very well divided. The language here is very simple and there is an example included to make sure that the patient doesn’t get confused. The sample survey questionnaire template also has a section regarding wellness goals and current wellness status.

3. Employee and Family Medical Questionnaire

employee and family medical questionnaireinsurance.az.gov

Details
File Format
  • PDF

Size: 56 KB

Download Now

If you are an employer looking to provide health insurance to your employees and their families, this medical questionnaire template is for you. The survey questionnaire has sections for both, the employees and their families. This template is great to use if you want to give out the forms to your employees.

4. General Medical Disclosure Questionnaire

general medical disclosure questionnaireirishlife.ie
Details
File Format
  • PDF

Size: 177 KB

Download Now

This medical questionnaire template is great if you want to have a more generalized information about a person’s health. The questionnaire does not go into a lot of details and deals mainly with chronic illnesses, if any. This template will assure that the applicant is transparent to you about their condition.

5. Medical Questionnaire For Accommodation Request

medical questionnaire for accommodation requestdhr.delaware.gov

Details
File Format
  • PDF

Size: 83 KB

Download Now

Issued by the state of Delaware, this medical questionnaire is aimed towards medical professionals in request of processing an accommodation request and confirming if the patient’s health is in consistence with the Americans with Disabilities Act (ADA) and can claim the privileges provided by the same.

6. Downloadable Group Medical Questionnaire

downloadable group medical questionnaireaetna.com

Details
File Format
  • PDF

Size: 528 KB

Download Now

In case you’re an employer wanting to provide insurance for your employees but don’t want to give everyone individual forms, this group medical questionnaire template is for you. Through this patient satisfaction survey template, you can cover the insurance of all of your employees in one go without any hassle.

7. Pre-Employment Medical Evaluation Questionnaire

pre employment medical evaluation questionnairetcd.ie

Details
File Format
  • PDF

Size: 311 KB

Download Now

Provided by Trinity College, this medical questionnaire is aimed towards people seeking employment to the same. The questionnaire, like most pre-employment medical questionnaires, is generalized in nature, asking for only what is necessary for their knowledge and in case of an emergency.

8. General Medical History Questionnaire

general medical history questionnairepolicenow.org.uk

Details
File Format
  • PDF

Size: 201 KB

Download Now

Aimed completely towards the job of a police officer, this medical questionnaire is quite elaborate in nature and asks necessary questions about medical health from potential police officers to make sure that they are safe on duty. This medical questionnaire is free to download and use.

9. Standard Medical Questionnaire Format

standard medical questionnaire formathdfclife.com

Details
File Format
  • PDF

Size: 8 MB

Download Now

This medical questionnaire is aimed towards people trying to get an insurance rather than being enrolled in a medical institution. The questionnaire here is incredibly detailed, making sure that the potential customer is completely transparent with the insurance company. The document is free to download.

10. Basic Medical Questionnaire Example

basic medical questionnaire examplepadi.com
Details
File Format
  • PDF

Size: 92 KB

Download Now

Aimed at potential scuba divers, this medical questionnaire requires a lot of details regarding a person’s health, making sure that the person is suitable to be a scuba diver or partake in the activity. The document also has space for a physician to authorize the person’s answers, making sure they are accurate.

11. Professional Medical Wellness Questionnaire

professional medical wellness questionnairegeorgetowncollege.edu

Details
File Format
  • PDF

Size: 125 KB

Download Now

This document is specially made for students of Georgetown College. Issued by the college’s student wellness center, the questionnaire takes into account only the important details about the student. The questionnaire template asks for past illnesses and disabilities among other things. The document is free to download.

More in Survey Templates

11+ Nurse Survey Templates in PDF | DOC10+ Survey Consent Form Templates in DOC | PDF
FREE 10+ Teacher Workload Survey Templates in PDF | MS Word10+ Post-Event Survey Templates in PDF | DOC
6+ Student Survey Questionnaire Templates in PDF | DOC10+ School Climate Survey Templates in PDF | DOC
6+ Stakeholder Engagement Survey Templates in PDF | DOC9+ Stakeholder Feedback Survey Templates in PDF | DOC
4+ Employee Performance Survey Templates in PDF16+ Student Interest Survey Templates in PDF | DOC
5+ Customer Loyalty Survey Templates in PDF | DOC13+ Annual Business Survey Templates in PDF | DOC | XLS
17+ Software Survey Templates in DOC | PDF10+ Preschool Parent Survey Templates in PDF | DOC
13+ Student Interest Survey Templates8+ Political Survey Templates in PDF
18+ Salary Survey Templates in PDF | Word5+ Family Reunion Survey Templates in PDF | Word
18+ Student Engagement Survey Templates in PDF | DOC4+ Cancellation Survey Templates in PDF
5+ Environmental Health Survey Templates in PDF | DOC8+ Student Behavior Survey Templates in PDF
17+ Photography Survey Templates in PDF | DOC14+ Follow Up Survey Templates in PDF | DOC
8+ Client Survey Form Templates in PDF | Word7+ Morale Survey Templates in PDF | DOC
12+ Value Propositions Survey Templates in PDF | Word11+ Motivation Survey Templates in Google Docs | Word | Pages | PDF
16+ Usage Survey Templates in PDF | Word23+ Evaluation Survey Templates in Google Docs | Word | Pages | Excel | PDF
FREE 6+ Supplier Feedback Survey Templates in PDF15+ Wellness Survey Templates in Google Docs | Word | Pages | PDF
12+ College Survey Templates in PDF | DOC6+ Bookstore Survey Templates in PDF | DOC
18+ Non Profit Survey Templates in PDF16+ Longitudinal Survey Templates in PDF | DOC | XLS
17+ Candidate Survey Templates in PDF | DOC7+ Smoking Survey Templates in PDF | DOC
5+ Membership Survey TemplatesFREE 10+ Panel Survey Templates in PDF | MS Word
23+ Engagement Survey Templates in Doc | Excel | PDF14+ Hotel Survey Templates in PDF | DOC
8+ Volunteer Satisfaction Survey Templates20+ Recruitment Survey Templates in Google Docs | Word | Pages | PDF
9+ Miscellaneous Survey Templates in PDF| Word7+ Building Survey Templates in PDF | DOC
10+ Cryptocurrency Survey Templates in PDF14+ Equipment Survey Templates in PDF | DOC
14+ Product Survey in Google Docs | Word | Pages | PDF11+ Employee Exit Survey Templates in PDF | DOC
20+ Career Survey Templates in PDF | DOC18+ Health Survey Templates in PDF | DOC
18+ Property Survey Templates in Doc | Excel | PDF17+ Education Survey Templates in PDF | DOC | XLS
9+ Quality Survey Templates in PDF | DOC8+ Literature Survey Templates in PDF
9+ Course Evaluation Survey Templates in PDF20+ Construction Survey Templates in PDF | DOC
6+ Constructing Survey Questionnaire Templates in PDF | Microsoft Word9+ Market Survey Questionnaire Templates in PDF | DOC
15+ Survey Questionnaire Templates in Google Docs | Word | Pages | PDF19+ Employee Survey Templates in Google Docs | Word | Pages | PDF
18+ Sample Survey Templates in Google Docs | Google Sheets | XLS | Word | Numbers | Pages20+ Satisfaction Survey Templates in Google Docs | Word | Pages | PDF
7+ Service Evaluation Survey Templates in PDF9+ Preschool Survey Templates
15+ Meeting Survey Templates in Google Docs | Word | Pages | PDF10+ Restaurant Survey Templates in Google Docs | Google Sheets | Excel | Word | Pages | Numbers | PDF
13+ Employee Satisfaction Survey Templates in PDF | DOC10+ Best Medical Questionnaire Templates
20+ HR Survey Templates in PDF | DOC10+ University Survey Templates in PDF
9+ Website Survey Templates in PDF | DOC12+ Training Survey Templates in Google Docs | Word | Pages | PDF
11+ Product Survey Templates in PDF | Word | Pages | Google Docs16+ Marketing Survey Templates in Google Docs | PDF | Word
19+ School Survey Templates in PDF | XLS | DOC12+ Personal Survey Templates in PDF | DOC
15+ Restaurant Survey Templates in PDF | Word | Pages | XLS | Numbers | Google Sheets | Google Docs15+ Health Care Survey Templates in PDF | DOC
16+ Job Satisfaction Survey Templates in Google Docs | Word | Pages | PDF13+ Retail Survey Templates in PDF | DOC
18+ Social Survey Templates in PDF | DOC | XLS14+ Travel Survey Templates in PDF | DOC
17+ Insurance Survey Templates in PDF | DOC | XLS19+ Business Survey Templates in Google Docs | Word | Pages | PDF | XLS
17+ Employee Survey Templates in PDF | Word | Google Docs | Pages | XLS19+ Satisfaction Survey Templates in Google Docs | Word | Pages | PDF | XLS
13+ Customer Satisfaction Survey Templates in PDF | Word | Google Docs | Pages15+ Customer Survey Templates in PDF | Word | Pages | Google Docs | XLS
18+ Feedback Survey Templates in Google Docs | Word | Pages | PDF | XLS13+ Survey Questionnaire Templates in PDF | Word | Pages | Google Docs
13+ Survey Report Templates in PDF | Word | Google Docs | Pages16+ Survey Form Templates in PDF | Word | Google Docs | Pages | XLS
11+ School Staff Survey Templates in PDF | Word10+ Market Research Survey Templates in Google Docs | Word | Pages | PDF
19+ Patient Experience Survey Templates in PDF | DOC13+ Employee Engagement Survey Templates in Google Docs | Word | Pages | PDF
5+ Food Safety Survey Templates in DOC | PDF16+ Healthcare Survey Templates in PDF | DOC
bottom banner