|
When I go to my physician for a health problem... |
Almost |
Very Frequently |
Frequently |
Occasionally |
Never |
|
I plan ahead of time how I am going to describe my problem. |
5 |
4 |
3 |
2 |
1 |
|
I describe my most important problem first. |
5 |
4 |
3 |
2 |
1 |
|
I check with my immediate family to determine if my problem runs in the family. |
5 |
4 |
3 |
2 |
1 |
|
I take a list of medications, over-the-counter drugs, and treatments I am receiving. |
5 |
4 |
3 |
2 |
1 |
|
Before the visit, I prepare a written list of questions to ask. |
5 |
4 |
3 |
2 |
1 |
|
I ask about anything that is unclear to me. |
5 |
4 |
3 |
2 |
1 |
|
I repeat in my own words the physician's answers to my questions. |
5 |
4 |
3 |
2 |
1 |
|
I understand the doctor's diagnosis of my problem. |
5 |
4 |
3 |
2 |
1 |
|
I make sure I know the benefits and risks of prescribed treatments. |
5 |
4 |
3 |
2 |
1 |
|
I know if and when to return for a follow-up visit. |
5 |
4 |
3 |
2 |
1 |