Table 1.

Validated Version of the PREMEPA Questionnaire Adapted to Our Context.

1. Before going to see your family doctor, did you seek other help for your health problem?	No	Yes	If you tick Yes, why didn’t you continue there and go to your family doctor?
2. How your family doctor treats you in terms of respect and courtesy.?	He/She is not respectful or polite	He/She is very disrespectful and impolite	He/She is moderately respectful and courteous	He/She is quite respectful and courteous	He/She is very respectful and courteous
3. To what extent do you feel listened to by your family doctor?	He/She won’t let me speak	He/She listens to me, but not very much	He/She lets me talk but doesn’t listen to everything I say	He/She lets me talk and listens to a lot of what I say	He/She listens to everything I want to tell him/her
4. To what extent do you feel understood by your family doctor?	He/She doesn’t understand me	I feel misunderstood	I feel moderately understood	I feel quite understood	I feel totally understood
5. How sensitive is your family doctor to your problem?	He/She has no sensitivity	He/She is not very sensitive	He/She is moderately sensitive	He/She is quite sensitive	He/She is fully sensitive
6. To what extent do you have confidence in the professional competence of your family doctor?	He/She does not inspire confidence in me	He/She inspires little confidence in me	I have some confidence in his/her ability	I have a lot of confidence in his/her ability	I have full confidence in his/her ability
7. Do you understand the explanation given by your family doctor about your health problem?	He/She has not explained my illness	I have little understanding of what he/she has explained to me about my illness.	I have some understanding of what he/she has explained about my illness.	I quite understand what he/she has explained to me about my illness.	I understand clearly what he/she has explained to me about my illness.
8. Do you understand the explanation given by your family doctor about the guidelines to be followed from now on in your case?	He/She has not explained the guidelines to be followed.	I understand little of what he/she has explained to me about the guidelines to be followed.	I have some understanding of the explanation of the guidelines to be followed.	I quite understand the explanation of the guidelines to be followed.	I fully understand the explanation of the guidelines to be followed.
9. Do you agree with the guidelines proposed and/or developed by your family doctor?	No	Yes	If you tick Yes, go to question number 12
10. Have you asked your family doctor for other treatment options or guidelines to follow?	No	Yes	If you tick Yes, go to question number 12
11. Has your family doctor suggested other treatment options or guidelines to follow?	No	Yes
12. Would you recommend your family doctor to a relative or friend?	No	Yes
13. Please rate your overall satisfaction with your family doctor’s consultation on a scale of 0 to 10.	0 being the worst rating and 10 the best rating