Appointment Question Builder | Mark Hornyak, MD

Step 1

Choose the appointment type

This changes the suggested questions so the final handout fits the visit.

New patient visitStart with the main concern, history, imaging, and next steps. Follow-up visitReview progress, response to treatment, and what comes next. Imaging reviewFocus on MRI, CT, X-ray, EMG, reports, and image findings. Second opinionOrganize prior recommendations and records for another perspective. Post-op visitDiscuss recovery, restrictions, wound concerns, and activity. Surgery discussionClarify goals, alternatives, risks, timing, and recovery.

Step 2

Build a symptom timeline

Main concern When symptoms started

Are symptoms changing?

Improving Worsening Unchanged

What makes symptoms worse? What makes symptoms better?

Symptoms to discuss

Weakness Numbness Balance issues Headaches Bowel/bladder changes Walking difficulty

Step 3

Gather imaging, treatments, and reminders

Medication / risk reminders to discuss with the office

This is only a reminder list for conversation with the office; it does not provide medication instructions.

Blood thinners Aspirin Plavix Eliquis/Xarelto/Coumadin Steroids Diabetes medications Medication allergies Prior anesthesia problems

Step 4

Pick your top 3 concerns

Choose up to three goals, or type your own. These will help prioritize the final question list.

Understand my MRI Avoid surgery if possible Know whether surgery is recommended Understand risks Understand recovery time Return to work Improve walking Reduce pain Prevent worsening Help family understand the plan

0 of 3 selected.

Custom goal 1 Custom goal 2 Custom goal 3

Add questions for a family member or caregiver.

When enabled, caregiver questions are added to the suggested list.

This tool is for appointment preparation only and does not provide medical advice or diagnosis. If you have new weakness, bowel or bladder changes, severe worsening pain, fever, seizure, trouble breathing, or other urgent symptoms, seek emergency care or contact your physician immediately.