Patient Questionnaire Questionnaire The questionnaire takes approximately 5 to 10 minutes to complete. You will need the following information: Name of the doctors looking after you Information of your health insurance Details of your current medications (including traditional, herbal and supplements) Any documents, letters, test results etc. which are relevant to your current medical conditions (you may upload scanned copies of these at the end of the questionnaire, or alternatively bring a copy of these when you first meet your anaesthetist) Your anaesthetist has requested you to complete this questionnaire prior to your surgery. Some of the questions may have already been asked by your surgeon or medical staff looking after you, and those questions tend to be more specific to your operation. On the other hand, your anaesthetist requires a full understanding of your health in order to plan the optimal type and quantity of anaesthetics for you, which is different for each patient. As a result, this questionnaire is more comprehensive than what you have already been asked by your surgeon or medical staff. It is important that you answer the questions to the best of your ability as this will ensure your anaesthetist best prepares for your operation. If you have any concerns or questions about the questionnaire, use the form provided at the end of the questionnaire, or alternatively use the 'Send Message' form located under 'Your Anaesthetist' in the above menu. To begin, please enter the Doctor ID Code as provided by your anaesthetist. Doctor ID Code Use the “Previous” and “Next” buttons at the bottom of the questionnaire to move between pages. Do not use the back button on your web browser as this will exit the questionnaire. Please note that an * at the end of the question indicates that an answer is required.