diff --git a/datacapture/src/main/java/com/google/android/fhir/datacapture/MoreQuestionnaireItemComponents.kt b/datacapture/src/main/java/com/google/android/fhir/datacapture/MoreQuestionnaireItemComponents.kt
index 1837ee1329..f3f8199067 100644
--- a/datacapture/src/main/java/com/google/android/fhir/datacapture/MoreQuestionnaireItemComponents.kt
+++ b/datacapture/src/main/java/com/google/android/fhir/datacapture/MoreQuestionnaireItemComponents.kt
@@ -18,6 +18,7 @@ package com.google.android.fhir.datacapture
 
 import android.text.Spanned
 import androidx.core.text.HtmlCompat
+import androidx.core.text.toSpanned
 import com.google.android.fhir.getLocalizedText
 import org.hl7.fhir.r4.model.BooleanType
 import org.hl7.fhir.r4.model.CodeType
@@ -183,6 +184,19 @@ private fun String.toSpanned(): Spanned {
 val Questionnaire.QuestionnaireItemComponent.localizedTextSpanned: Spanned?
   get() = textElement?.getLocalizedText()?.toSpanned()
 
+/**
+ * `*` value is appended to [Questionnaire.QuestionnaireItemComponent.localizedTextSpanned] if
+ * [Questionnaire.QuestionnaireItemComponent.required] is true.
+ */
+internal val Questionnaire.QuestionnaireItemComponent.localizedTextSpannedWithAsterisk: Spanned?
+  get() {
+    return if (required) {
+      localizedTextSpanned?.toString()?.plus("*")?.toSpanned()
+    } else {
+      localizedTextSpanned
+    }
+  }
+
 /**
  * Localized and spanned value of [Questionnaire.QuestionnaireItemComponent.prefix] if translation
  * is present. Default value otherwise.
diff --git a/datacapture/src/main/java/com/google/android/fhir/datacapture/views/QuestionnaireGroupTypeHeaderView.kt b/datacapture/src/main/java/com/google/android/fhir/datacapture/views/QuestionnaireGroupTypeHeaderView.kt
index 039ae2e79b..7889c82d8c 100644
--- a/datacapture/src/main/java/com/google/android/fhir/datacapture/views/QuestionnaireGroupTypeHeaderView.kt
+++ b/datacapture/src/main/java/com/google/android/fhir/datacapture/views/QuestionnaireGroupTypeHeaderView.kt
@@ -24,7 +24,7 @@ import android.widget.TextView
 import com.google.android.fhir.datacapture.R
 import com.google.android.fhir.datacapture.localizedInstructionsSpanned
 import com.google.android.fhir.datacapture.localizedPrefixSpanned
-import com.google.android.fhir.datacapture.localizedTextSpanned
+import com.google.android.fhir.datacapture.localizedTextSpannedWithAsterisk
 import org.hl7.fhir.r4.model.Questionnaire
 
 internal class QuestionnaireGroupTypeHeaderView(context: Context, attrs: AttributeSet?) :
@@ -40,7 +40,7 @@ internal class QuestionnaireGroupTypeHeaderView(context: Context, attrs: Attribu
     val hint = findViewById<TextView>(R.id.hint)
     initHelpButton(this, questionnaireItem)
     prefix.updateTextAndVisibility(questionnaireItem.localizedPrefixSpanned)
-    question.updateTextAndVisibility(questionnaireItem.localizedTextSpanned)
+    question.updateTextAndVisibility(questionnaireItem.localizedTextSpannedWithAsterisk)
     hint.updateTextAndVisibility(questionnaireItem.localizedInstructionsSpanned)
     visibility = getViewGroupVisibility(prefix, question, hint)
   }
diff --git a/datacapture/src/main/java/com/google/android/fhir/datacapture/views/QuestionnaireItemHeaderView.kt b/datacapture/src/main/java/com/google/android/fhir/datacapture/views/QuestionnaireItemHeaderView.kt
index 8a5e627b2e..e3f353f3fb 100644
--- a/datacapture/src/main/java/com/google/android/fhir/datacapture/views/QuestionnaireItemHeaderView.kt
+++ b/datacapture/src/main/java/com/google/android/fhir/datacapture/views/QuestionnaireItemHeaderView.kt
@@ -31,7 +31,7 @@ import com.google.android.fhir.datacapture.hasHelpButton
 import com.google.android.fhir.datacapture.localizedHelpSpanned
 import com.google.android.fhir.datacapture.localizedInstructionsSpanned
 import com.google.android.fhir.datacapture.localizedPrefixSpanned
-import com.google.android.fhir.datacapture.localizedTextSpanned
+import com.google.android.fhir.datacapture.localizedTextSpannedWithAsterisk
 import com.google.android.material.card.MaterialCardView
 import org.hl7.fhir.r4.model.Questionnaire
 
@@ -49,7 +49,7 @@ internal class QuestionnaireItemHeaderView(context: Context, attrs: AttributeSet
 
   fun bind(questionnaireItem: Questionnaire.QuestionnaireItemComponent) {
     prefix.updateTextAndVisibility(questionnaireItem.localizedPrefixSpanned)
-    question.updateTextAndVisibility(questionnaireItem.localizedTextSpanned)
+    question.updateTextAndVisibility(questionnaireItem.localizedTextSpannedWithAsterisk)
     hint.updateTextAndVisibility(questionnaireItem.localizedInstructionsSpanned)
     initHelpButton(this, questionnaireItem)
     //   Make the entire view GONE if there is nothing to show. This is to avoid an empty row in the
diff --git a/datacapture/src/test/java/com/google/android/fhir/datacapture/MoreQuestionnaireItemComponentsTest.kt b/datacapture/src/test/java/com/google/android/fhir/datacapture/MoreQuestionnaireItemComponentsTest.kt
index 94f30ae42e..43c5adf0b1 100644
--- a/datacapture/src/test/java/com/google/android/fhir/datacapture/MoreQuestionnaireItemComponentsTest.kt
+++ b/datacapture/src/test/java/com/google/android/fhir/datacapture/MoreQuestionnaireItemComponentsTest.kt
@@ -530,6 +530,27 @@ class MoreQuestionnaireItemComponentsTest {
     assertThat(questionnaireItem.localizedTextSpanned.toString()).isEqualTo("Thông tin bệnh nhân")
   }
 
+  @Test
+  fun `localizedTextSpannedWithAsterisk returns localizedTextSpanned appended by *`() {
+    val questionnaireItem =
+      Questionnaire.QuestionnaireItemComponent().apply {
+        text = "Patient Information"
+        required = true
+      }
+    Locale.setDefault(Locale.US)
+    assertThat(questionnaireItem.localizedTextSpannedWithAsterisk.toString())
+      .isEqualTo("Patient Information*")
+  }
+
+  @Test
+  fun `localizedTextSpannedWithAsterisk returns localizedTextSpanned`() {
+    val questionnaireItem =
+      Questionnaire.QuestionnaireItemComponent().apply { text = "Patient Information" }
+    Locale.setDefault(Locale.US)
+    assertThat(questionnaireItem.localizedTextSpannedWithAsterisk.toString())
+      .isEqualTo("Patient Information")
+  }
+
   @Test
   fun localizedPrefixSpanned_noPrefix_shouldReturnNull() {
     val questionnaireItem = Questionnaire.QuestionnaireItemComponent()
diff --git a/datacapture/src/test/java/com/google/android/fhir/datacapture/views/QuestionnaireGroupTypeHeaderViewTest.kt b/datacapture/src/test/java/com/google/android/fhir/datacapture/views/QuestionnaireGroupTypeHeaderViewTest.kt
index e7c32a7151..5d4177fc65 100644
--- a/datacapture/src/test/java/com/google/android/fhir/datacapture/views/QuestionnaireGroupTypeHeaderViewTest.kt
+++ b/datacapture/src/test/java/com/google/android/fhir/datacapture/views/QuestionnaireGroupTypeHeaderViewTest.kt
@@ -74,6 +74,18 @@ class QuestionnaireGroupTypeHeaderViewTest {
     assertThat(view.findViewById<TextView>(R.id.question).text.toString()).isEqualTo("Question?")
   }
 
+  @Test
+  fun `shows * at the end of question text`() {
+    view.bind(
+      Questionnaire.QuestionnaireItemComponent().apply {
+        text = "Question?"
+        required = true
+      }
+    )
+
+    assertThat(view.findViewById<TextView>(R.id.question).text.toString()).isEqualTo("Question?*")
+  }
+
   @Test
   fun `shows instructions`() {
     view.bind(
diff --git a/datacapture/src/test/java/com/google/android/fhir/datacapture/views/QuestionnaireItemHeaderViewTest.kt b/datacapture/src/test/java/com/google/android/fhir/datacapture/views/QuestionnaireItemHeaderViewTest.kt
index 8bdb83edfe..80baf39bac 100644
--- a/datacapture/src/test/java/com/google/android/fhir/datacapture/views/QuestionnaireItemHeaderViewTest.kt
+++ b/datacapture/src/test/java/com/google/android/fhir/datacapture/views/QuestionnaireItemHeaderViewTest.kt
@@ -74,6 +74,18 @@ class QuestionnaireItemHeaderViewTest {
     assertThat(view.findViewById<TextView>(R.id.question).text.toString()).isEqualTo("Question?")
   }
 
+  @Test
+  fun `shows * at the end of question text`() {
+    view.bind(
+      Questionnaire.QuestionnaireItemComponent().apply {
+        text = "Question?"
+        required = true
+      }
+    )
+
+    assertThat(view.findViewById<TextView>(R.id.question).text.toString()).isEqualTo("Question?*")
+  }
+
   @Test
   fun `shows instructions`() {
     view.bind(