UnfoldFactory Free printable · doctor visits Appointment Prep Worksheet
Rank your concerns, list your questions and symptoms, and note the answers and next steps, so you walk out with a plan.
2 pages + bonus · US Letter · free for personal use · no sign-up
Who it's for
People managing a chronic illness, family caregivers, and anyone who leaves appointments thinking "I forgot to ask".
What's inside
- Visit basics: date, time, provider and reason for the visit
- Your top three concerns, ranked
- Questions to ask
- Symptoms to report, with when each started and its severity out of 10
- Medication changes since your last visit
- During the visit: the doctor's answers and action items
- Follow-up needed and the date of your next appointment
How to use it
- Fill in the top half a day or two before the appointment, while you remember everything.
- Bring it to the visit and start with your number one concern.
- Write the answers and next steps down before you leave the room.
Questions
Can a caregiver fill it in for someone else?
Yes. It works just as well when you're the one speaking for a parent, partner or child.
Do I have to sign up to download it?
No. The button gives you the PDF straight away.
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