Doctor Patient Communication-Kasee Kavas

Please answer questions honestly, 1 being strongly dissatisfied and 5 being strongly satisfied.
Name (optional): 


  1. Did the doctor listen to you carefully during the consultation?
    1 2 3 4 5


  1. Did the doctor allow you to talk without interrupting you?
    1 2 3 4 5


  1. Did the doctor encourage you to express yourself?
    1 2 3 4 5


  1. Did the doctor examine you thoroughly?
    1 2 3 4 5


  1. Do you feel that the doctor understood you?
    1 2 3 4 5


  1. Was it easy to understand what the doctor said?
    1 2 3 4 5


  1. Do you feel you were given all the necessary information?
    1 2 3 4 5


  1. Did the doctor explain the advantages and disadvantages of the treatment or care strategy?
    1 2 3 4 5


  1. Did the doctor involve you in the decision-making?
    1 2 3 4 5


  1. In your opinion, did the doctor have a reassuring attitude and way of talking?
    1 2 3 4 5


  1. Did the doctor reply to all your expectations and concerns?
    1 2 3 4 5


  1. Did the doctor make sure that you understood his explanations and instructions?
    1 2 3 4 5


  1. Do you think the doctor was in general respectful?
    1 2 3 4 5


  1. Do you have confidence in this doctor?
    1 2 3 4 5


  1. Do you have any additional comments or concerns in regards to your doctors visit?


  1. Would you choose to visit this physician again?
    Yes
    No





Mrs. Fauchier