Emma Boykin - Mod 7
Name: 


  1. Do you, as a patient, believe you should have ultimate say over treatment instead of your physician?
    Yes
    No


  1. What do you, as a patient, influences your level of interaction with your physician most?
    Social Class
    Age
    Education
    Severity of Symptoms
    Satisfaction with Treatment


  1. What do you consider to be your social class? How do you feel it influences your interaction with your physician?


  1. If you are a female, as a patient, have you ever experienced sexist attitudes from male physicians?
    Yes, frequently
    Yes, sometimes
    No, rarely
    No, never


  1. Do you feel, as a patient, that there needs to be more sensitivity from physicians?
    Yes
    No


  1. As a patient, do you feel more comfortable with a male or female physician?
    Female
    Male


  1. Do you, as a patient, feel that having cultural differences with you physician would affect your care?
    Yes
    No


  1. As a patient, what do you feel influences your compliance with you physician most?
    Motivation to be healthy
    A perceived vulnerability to an illness
    The potential for negative consequences
    Effectiveness of the treatment
    Sense of personal control
    Effective communication


  1. Do you believe, as a patient, that where your physician went to medical school impacts their ability to treat their patients?
    Yes
    No


  1. How would you rate your experiences with physicians to date?
      1 2 3 4 5  
    Excellent   Poor


  1. From a patient perspective, what would be something you would change in regards to patient-physician interaction? Why?
Mrs. Fauchier