Physiotherapy pre-consultation questionnaire
DaoSanté · Pre-consultation
Pre-Assessment Questionnaire
Prepare your first session
Welcome
To best prepare your first session and optimize our time together, please take a few minutes to answer these questions.
This questionnaire covers 12 questions across 8 sections:
- General information
- Reason for consultation
- Description of your symptoms
- Impact on your daily life
- Medical history
- Current treatments
- Warning signs
- Your goals
Your answers are confidential and will allow me to directly target your needs from our first meeting.
⏱ Estimated time: less than 5 minutes
Informational tool only
This questionnaire is an informational pre-consultation tool. It does not constitute a medical diagnosis and does not replace the evaluation of a qualified healthcare professional. The information collected is used to prepare your session.
In case of medical emergency
If you experience severe symptoms or sudden intense pain, call immediately:
144 – Ambulance (CH)
15 – SAMU (FR)
112 – European Emergency
No personal data collected or transmitted. 100 % local processing in your browser.
I have read and understood the information above. I acknowledge that this questionnaire is an informational pre-consultation tool and does not replace a clinical evaluation. I consent to proceed.
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Clinical Pre-Assessment Questionnaire
Pre-consultation tool — DaoSanté
This document is informational and does not replace a clinical evaluation.
daosante.ch
Pre-consultation tool — DaoSanté
This document is informational and does not replace a clinical evaluation.
daosante.ch