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Klima_Doctor-Patient Interactions Survey
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Name
:
Are you willing to follow a doctor's orders even if you don't believe that they are right?
Yes
No
Do you research your condition before going to a doctor?
Yes
No
What is the most important factor in choosing a new doctor?
Location
Gender
Experience
Friend and Family Referral
Age
Personality
What is the longest amount of time that you have spent on a visit to the doctor?
Is it important to you to see the same doctor consistently?
Yes
No
It is important that the doctor makes sure that all your questions and concerns have been answered, and that you have a plan moving forward.
1
2
3
4
5
Strongly agree
Strongly disagree
Do you do research on the doctor prior to going in to meet him/her for the first time?
Yes
No
How open are you to a doctor's advice? 1 being completely open and 5 being not open at all
1
2
3
4
5
Mrs. Fauchier