Questionnaire Templates Pre and Post Surgery

Questionnaire Templates Pre and Post Surgery

Why use PKB Questionnaires

  • To facilitate remote communication and monitoring with patients at home before and after surgery.

  • Provide patients with a digital platform that supports engagement, preparation, and recovery through accessible questionnaires.

Why

  • Equip patients with a tool to support self-management of their health and well-being.

  • Enable patients to receive and retain a copy of their responses for reference.

  • Reduce reliance on face-to-face, paper-based questionnaires by providing a secure, digital alternative.

  • Improve efficiency and quality of information exchange between patients and clinical teams.

How to Request a Questionnaire Template

  • Identify which questionnaire(s) are required for your patient cohort.

  • Complete this PKB Questionnaire request form.

  • Any of the questionnaires templates on this page can be adapted for your team, or you can create your own by contacting your Success Project Manager.

Pre and Post Surgery Templates

Pre-assessment Advance Questionnaire

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Enhanced Recovery After Surgery Questionnaire

Oxford Knee Score (Pre-surgery)

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Health and Lifestyle Questionnaire - Assessing you for Admission (General Anaesthetic)

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E-Consent Questionnaire

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Patient Health Questionnaire - Pre Op

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