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Welcome to HealthQuest/ChildQuest Online, the Cleveland Clinic's web-based pre-operative anesthesia risk-assessment questionnaire. If you have any questions while taking this survey, please click on the help button in the upper right corner.
For Patients
Before you begin the questions, be sure to have your medical history close by to assist when needed. This survey should take between 20 - 60 minutes to complete. Please note that for security and privacy reasons, an individual page will time out after 20 minutes of inactivity. If you time out while taking the survey, you will have to restart from the beginning. Please call your surgeon's office if you are having difficulty filling out this questionnaire or if you have questions about the proper answers to choose. 

HealthQuest/ChildQuest Web Site Privacy Statement

The Cleveland Clinic is very interested in the privacy and safety of our patients. Our web site contains forms through which patients supply health information. We do not provide any information supplied on our web forms to any outside organization for any reason (other than where we may be required to by law). We also do typical web traffic analyses through which we track statistics such as which pages are visited in what order, where visitors come from, and how long visitors spend on our site. But we never associate such information with specific identities.

Cleveland Clinic values your privacy and security. Your data is protected through Secure Socket Layer (SSL) 128-bit encryption, ensuring your confidential information is protected using both server authentication and data encryption technology. Once the information is sent to our site, it is kept in secure databases where it is not available to users on the Internet.

If you have any questions about our privacy policy or our use of information gathered through our web site, please contact our Webmaster at

© Cleveland Clinic 2013