Virtual PAC Lite
A Free Pre-Anaesthetic Questionnaire, ready in minutes
Reduce admin and prevent cancellations with a purpose-built questionnaire.
Powered by Jotform - a secure, widely used platform for healthcare data collection.
Patient-Friendly
Easy form access via URL
Quick & Easy for patients
Anaesthetist-Friendly
Easy inbox access via Jotform
Effortless to Scan & Review
How it works
Step 1: Sign Up
Create a Jotform account (takes ~1 minute)
This account is needed for viewing of questionnaire submissions.
Step 2: Get your Questionnaire
We’ll automatically share a Pre-Anaesthetic Questionnaire and a secure inbox with you
Step 3: Share with your patients
Share your unique link with patients. Submissions arrive securely in your inbox.
Why use Virtual PAC lite?
📝 Premium questionnaire — purpose-built for pre-anaesthetic assessment
⚡ Easy setup — ready to use the same day
🔒 Secure by design — encrypted, HIPAA-level storage on high security U.S. servers*
💸 Free — no cost, no ongoing commitment
👩⚕️ Patient-friendly — simple to complete on any device
👨⚕️ Anaesthetist-friendly — clear layout, quick to review before surgery
*Virtual PAC Lite is hosted on Jotform’s secure U.S. servers, a common arrangement for healthcare providers worldwide. Anaesthetists remain responsible for complying with local privacy laws in their use of patient information.
Upgrade when you’re ready
If you find yourself wanting:
Virtual PAC Branding
Red flag Notifications & SMS Reminders
Full Pre-Admission Clinic Functions
You can upgrade to the full Virtual Pre-Admission Clinic experience at any time.
Start using Virtual PAC Lite today!
Takes one minute — no cost, no commitment