Doctor patient interaction


  1. How would you rate your overall experience today?
    1-Very poor
    2-Below average
    3-Average
    4-Above average
    5-Excellent


  1. How do you rate your overall health?
    1-Very poor
    2-Below average
    3-Average
    4-Above average
    5-Excellent


  1. Did you feel at ease communicating your concerns with the physician?
    Yes
    No
    Not sure


  1. Did your physician communicate clearly with you?
    Yes
    No
    Not sure


  1. Did your physician include you in decisions concerning your health today?
    Yes
    No
    Somewhat
    Not sure


  1. Did your physician listen to your concerns?
    Yes
    No
    Somewhat
    Not sure


  1. How likely are you to visit this physician again?
    1-Not likely
    2-Likley
    3-Very likley


  1. How would you rate your visit today?
    1-Very poor
    2-Below average
    3-Average
    4-Above average
    5-Excellent





Mrs. Fauchier