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

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  • PDF

Size: 26 KB

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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

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  • PDF

Size: 44 KB

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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

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  • PDF

Size: 56 KB

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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

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  • PDF

Size: 177 KB

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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

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  • PDF

Size: 83 KB

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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

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  • PDF

Size: 528 KB

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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

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  • PDF

Size: 311 KB

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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

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  • PDF

Size: 201 KB

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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

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  • PDF

Size: 8 MB

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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

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  • PDF

Size: 92 KB

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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

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  • PDF

Size: 125 KB

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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.

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