What is ePAQ?

ePAQ is an electronic personal questionnaire system with a variety of health questionnaires on a range of health issues.

ePAQ Systems Ltd has been formed out of a partnership of medical and IT professionals, with over 50 years experience of working within the NHS and the UK healthcare industry. Together we have created an "electronic Personal Assessment Questionnaire" system.

ePAQ has been developed to be simple, secure, flexible and intuitive. It is aimed at reducing the amount of time and number of visits patients would have to make to clinic, while also aiming to help clinicians get as much information as possible about a patient's health and condition.

ePAQ is an interactive Personal Assessment Questionnaire designed for use in the community as well as in normal & specialist medical practice.

Questionnaires can be completed via the internet in a patient's own time, or on computers or tablets in clinic. They are designed with simple questions which mirror those asked by clinicians. This gives clinicians the opportunity to review information about the patient before they arrive in clinic and allows patients the freedom to answer questions without embarrassment, and in their own time.

  • ePAQ provides an interactive approach to pre-operative assessment, and the assessment of pelvic floor, vulval, menstrual pain and hormonal symptoms in women.
  • ePAQ offers a reliable and intelligent software analysis from a set of user-friendly questions, designed by clinicians and approved by the Plain English Campaign.
  • ePAQ has combined the accuracy and reliability of validated self-completed patient friendly questionnaires with intelligent computer software analysis and reporting.
  • ePAQ Pre-op Assessment is extremely effective at saving patient visits as can be seen
More information:
  • For research and academic references click the References link in the More Information section at the bottom of the page.
  • For more information about the Questionnaires roll down or click on the Questionnaires link in the navigation bar. Where available click the questionnaire icons for more information about the questionnaire and it's value to your clinic.



ePAQ questionnaires have been designed by clinicians to represent the questions they would ask, to find the information they want to know.

  • The questionnaires are designed to help doctors, nurses, physiotherapists and administrators provide a more efficient and comprehensive patient experience.
  • The are aimed at improving diagnosis and outcomes to help bring quality of life to patient care
  • The questions within each of the questionnaires have been written to get the maximum amount of information as simply as possible.
  • ePAQ pre-op has been approved by the Plain English Campaign and awarded the Crystal Mark.
  • The questionnaires have also been designed to respond to the answers given by a patient, skipping irrelevent questions.
  • Patient responses are compiled into comprehensive reports showing summary and in-depth, question by question information and analysis of their answers.


  • ePAQ has been developed to be intuitive and easy to use for all levels of computer user.
  • The software has different user roles to ensure administrative tasks and usage reporting can only be carried out by specifically authorised personel.
  • The software is split in to seperate systems for managing patients and questionnaires and completing questionnaires.
  • Although the questionnaires have already been created some aspects of the management system can be customised to suit a particular clinic or hospital.
  • Clinics will also have a choice of questionnaire systems.
  • They can use one which is only available in hospital, where patients can complete the questionnaire in clinic.
  • Or they can use an internet version in which the patients use a voucher, supplied by the clinic, and their date of birth, to access an anonymised version of the questionnaire in there own time, on their own device.
  • Once a questionnaire is complete a full report of a patient's answers can be viewed with both summary information and detailed question by question analysis.
  • In the case of Pre-Operative Assessment the report is interactive and editable.
  • The software has been developed to work on all modern browsers and mobile devices connected to the internet or hospital network.
  • Full software training and support is available.


  • Each question can be considered by the individual in their own time.(relieves the pressures sometimes felt in face to face consultations)
  • Each page includes a question about how often a symptom occurs and a question about its effect on an individual’s quality of life.(consideration can address personal as well as clinical priorities)
  • Context checking allows items to be skipped automatically.(minimises the time to complete a questionnaire)
  • Specific help pages are available for every item.(enables patient to answer the questions in privacy)
  • On completion, the report produced provides symptom scores, in specific groups, that relate to pelvic floor function. (ensures a reliable and comprehensive basis for consideration)
  • ePAQ can be extremely helpful for setting up and running Virtual Clinics.

From a patient's perspective:

  • ePAQ helps patients express their problems.
  • ePAQ aids the communication process, especially where there is the option to write in the patient's own words.
  • patients have found the questionnaires; good, enjoyable, easy and quick, good fun.
  • ePAQ helped patients focus on the urgent and relevant problems.

From a clinicians perspective:

  • ePAQ provides a patient oriented approach.
  • ePAQ allows patients the opportunity to consider all their symptoms.
  • ePAQ bridges the gap between routine consultation and patient expectations.
  • ePAQ enables both patients & clinicians to reach a mutual agreement on targets & treatment
  • ePAQ gives patients freedom to express the quality of life impact of their conditions, as well as their symptoms.




  • Optimise your pre-operative assement process with our electronic assessment form.
  • Create a 'one-stop-shop' for ASA 1 and 2 patients.

Pelvic Floor

  • Reduce patient embarrassment and increase patient supplied information.
  • Increase clinic efficiency with pre-supplied information, before the patient's examination.


  • Overcome embarrassment and communication barriers.
  • Interactive images to help identify problem areas.
  • Use of EQ-5D descriptive system of health-related quality.


Menstrual, Pain and Hormonal

  • Allow patients to describe their Menstrual, pain and hormonal issues without embarrassment or communication barriers.
  • Increase the involvement of the patient in their care.


  • Get an initial picture of knee issues, including an Oxford Knee Score before consultation.

For more information click the individual Questionnaire icons.

ePAQ References

Questionnaire development & testing

ePAQ-Pelvic Floor

  • Responsiveness of the electronic Personal Assessment Questionnaire – Pelvic Floor (ePAQ-PF). Jones GL, Lumb J, Radley SC, Farkas AG. Int Urogynecol J Pelvic Floor Dysfunct. (Feb 2009)
  • Quality of life measurement and electronic assessment in urogynaecology. Dua A, Radley SC. The Obstetrician & Gynaecologist. (Oct 2011)
  • Electronic pelvic floor symptoms assessment: tests of data quality of ePAQ-PF. Jones GL, Radley SC, Lumb J, Jha S. Int Urogynecol J Pelvic Floor Dysfunct. (Jun 2008)
  • Computer interviewing in urogynaecology: concept, development and psychometric testing of an electronic pelvic floor assessment questionnaire (e-PAQ) in primary and secondary care. Radley et al. BJOG, 2006
  • Development and psychometric testing of a symptom index for pelvic organ prolapse. Bradshaw HD, Hiller L, Farkas AG, Radley S, Radley SC. J Obstet Gynaecol. (Apr 2006)
  • Measuring quality of life in urogynaecology.Radley SC, Jones GL. BJOG. (Dec 2004)
  • Questionnaires to assess urinary and anal incontinence: review and recommendations. Avery KN, Bosch JL, Gotoh M, Naughton M, Jackson S, Radley SC, Valiquette L, Batista J, Donovan JL. J Urol. 2007 Jan;177(1):39-49.
  • Development and validation of a questionnaire for the assessment of bowel and lower urinary tract symptoms in women. Hiller L, Radley S, Mann CH, Radley SC, Begum G, Pretlove SJ, Salaman JH. BJOG. (Apr 2002)
  • A scoring system for the assessment of bowel and lower urinary tract symptoms in women. Hiller L, Bradshaw HD, Radley SC, Radley S. BJOG. 2002


  • Initial experiences of using ePAQ-Vulva in clinical practice. Alexander C, Macdonald M, Gray T, Radley S, Palmer. J. J Low Gen Tract Dis. 2015;19 (3 Suppl 1):S14.
  • ePAQ-Vulva: The Development and Production of a Novel Electronic Personal Assessment Questionnaire to Assess Patients with Vulval Disease: Macdonald M, Alexander C, Gray T, Radley S, Palmer J. J Low Gen Tract Dis. 2015;19 (3 Suppl 1):S14.

ePAQ-PO (Pre Operative Assessment)

  • Electronic Personal Assessment Questionnaire Pre Operative: patient experience and face validity of an interactive, electronic questionnaire for the preoperative assessment of patients due to undergo general anaesthesia. ABSTRACT: Goodhart I, Andrzejowski J, Berthoud M et al. British Journal of Anaesthesia 2012; 109: 655- 668.

ePAQ-MPH (Menstrual, Pain & Hormonal)

  • Initial patient experience of an electronic questionnaire for the assessment of menstrual, pain & hormonal disorders. James E, Swami R, Moores K, Jones GL, Connor ME, Radley SC British Society of Gynae Endoscopy. AGM. Cardiff 2012
  • ePAQ-MPH: Patient and clinician responses following its use in the gynaecology clinic. Marcin Klingbajl, Connor ME, Jones GL, Radley SC. Poster ESGE 2013


  • Development of an instrument to measure face validity and feasibility of patient questionnaire use during healthcare: the QQ-10 Moores K, Jones G, Radley SC. Int J Quality in Health Care. 2012

Clinical applications

  • Increasing Discussion Rates of Incontinence in Primary Care: A Randomized Controlled Trial Sophia Miryam Schussler-Fiorenza Rose, Ronald E. Gangnon, Betty Chewning, Arnold Wald. Journal of Women’s Health. Volume 24, Number 11, 2015
  • Understanding women’s experiences of electronic interviewing during the clinical episode in urogynaecology: A qualitative study. Anupreet Dua, Georgina Jones, Hilary Wood, Herjit Sidhu: International Urogynecology Journal. 2013
  • The Virtual Urogynaecology Clinic, Jha et al. IUGA 2008 (Abstract)
  • The use of free text items in electronic questionnaires to record patients’ concerns, goals and questions relating to their condition. Gray TG, Radley SC, Alexander C, Monk A, Maraj H. Abstract: Proceedings of BSUG. Int Urogynecol J 26:1701-1705. 2015

Outcomes research

  • Does Percutaneous Tibial Nerve Stimulation (PTNS) improve global pelvic function in women with faecal incontinence? S. L. Kelly*, S. C. Radley† & S. R. Brown* *Northern General Hospital, Sheffield, UK, † Royal Hallamshire Hospital, Sheffield, UK. In press Colorectal dis. 2016
  • Bowel dysfunction after total abdominal hysterectomy for benign conditions: a prospective longitudinal study. Lashen H, Jones GL, Duru C, Pitsillides C, Radley S, Jacques RM, McAlindon M. Eur J Gastroenterol Hepatol. 2013
  • Does sacral nerve stimulation improve global pelvic function in women? Jadav AM, Wadhawan H, Jones GL, Wheldon LW, Radley SC, Brown SR. Colorectal Dis. 2013
  • Prolapse or incontinence: what affects sexual function the most? Jha S, Gopinath D. Int Urogynecol J. 2015 Nov 19.
  • The effect of posterior colporrhaphy on anorectal function. Dua A, Jha S, Farkas A, Jones GL, Radley SC. International Urogynecology Journal. 2011
  • Constipation, faecal incontinence and urinary symptoms in women awaiting hysterectomy. Mann CH, Radley SC, Begum G, Gkoutzioulis F, Jordan JA, Callender R, Radley S. J Obstet Gynaecol. 2000 Sep;20(5):530-2.
  • Effect of anticholinergics on the overactive bladder and bowel domain of the electronic personal assessment questionnaire (ePAQ). Bulchandani S1, Toozs-Hobson P, Parsons M, McCooty S, Perkins K, Latthe P. Int Urogynecol J. 2015 Apr;26(4):533-7.
  • The personal impact of pelvic floor symptoms and their relationship to age. Dua A, Radley S, Jones G, Farkas A. Int Urogynecol J. 2014
  • Pelvic organ support, symptoms and quality of life during pregnancy: a prospective study. Elenskaia K1, Thakar R, Sultan AH, Scheer I, Onwude J. Int Urogynecol J. 2013 Jul;24(7):1085-90.
  • Effect of childbirth on pelvic organ support and quality of life: a longitudinal cohort study. Elenskaia K1, Thakar R, Sultan AH, Scheer I, Onwude J. Int Urogynecol J. 2013 Jun;24(6):927-37.
  • Incontinence during intercourse: Myths unravelled. Jha S, Strelley K, Radley SC. Int Urogynecol J. 2012 May;23(5):633-7. (Jan 2012).
  • The Effect of Prolapse Repair on Sexual Function in Women. Dua A, Jha S, Farkas A, Radley SC. J Sex Med. (Feb 2012).
  • Factors influencing outcome following the tension-free vaginal tape (TVT). Jha S, Jones GL, Radley SC, Farkas AG. Eur J Obstet Gynecol Reprod Biol. (May 2009)
  • Impact of TVT on Sexual function. Jha S, Radley SC, Farkas AG, Jones GL. Int Urogynecol J Pelvic Floor Dysfunct. (Feb 2009)
  • Department of Health: Delivering the 18 week patient pathway. Practical Examples - success stories: Technology and equipment (including IT). www.18weeks.nhs.uk