Kaitlyn Wakefield

Doctor-Patient Interaction

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A red asterisk (*) indicates required questions.


  1. Do you feel that your doctor has your best interest at all times?*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Do you feel in general that your doctor spends enough time with you during your visits?*
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Do you feel that your doctor is thoroughly invested in your health? (Knowing your medical history, studying your medical tests, etc)*
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Do you feel that your doctor is an authoritative figure over you?*
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Do you feel that your doctor takes your word for your symptoms?*
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Do you feel that your doctor thoroughly explains everything to you?*
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Do you feel that your doctor is not doing that he/she could do for you?*
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. 'Do you trust in your doctor's ability to treat you accurately?*
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  





Mrs. Fauchier