Printable · A4 and US Letter
Questions for my appointment
Write your questions down before you go, and leave room for notes during the visit.
- Free
- No sign-up
- 1 page
- Black-and-white friendly
Last reviewed 13 Oct 2026 · RisuLabs
Questions for my appointment
Write them down now so you do not forget them in the room.
Appointment with
Date and time
What has changed since the last visit
My questions
Notes from the visit
How to use it
- Note what changed. Write down new symptoms, side effects or anything that feels different since the last visit.
- List your questions. Put the most important question first. Tick each one when it is answered.
- Take notes in the room. Use the notes lines, or ask the doctor to write instructions down for you.
What is on the sheet
- Who and when, at the top
- Three lines for what has changed
- Seven numbered questions with tick boxes
- Four lines for notes from the visit
Bring your history too
Oclo’s doctor PDF shows your medicines and the last 30 days of what you took. Free, no account.
Get it on Google PlayQuestions
Can I edit it before printing?
The PDF has blank lines to fill in by hand. Nothing you write is sent anywhere.
How many questions fit?
Seven. Put the most important first; if you need more, print a second sheet.