Control Preferences Scale’s Text (Adapted from Degner and Sloan12)

Control Preference		Patient-Physician/[Patient-Loved Ones] (Conscious)	Patient-Physician/[Patient-Loved Ones] (Unconscious)
Independent	A	“I prefer to make the decisions about which tests or treatments I receive.”	“I prefer that my doctor order tests or treatmentsfor me [loved ones tell my doctor which tests or treatments to order] based on my own personal wishes.”
	B	“I prefer to make the final decision about which tests or treatments I receive after seriously considering my doctor’s opinion [loved one’s opinions].”	“I prefer that my doctor order tests or treatments [loved ones tell my doctor which tests or treatments to order] for me based on my own personal wishes after having seriously considered what he or she thinks [they think] is best.”
Shared	C	“I prefer that my doctor [loved ones] and I share responsibility for deciding which tests or treatments I receive.”	“I prefer that my doctor decide about [loved ones tell my doctor] which tests or treatments to order by equally weighing both my personal wishes and what my doctor [loved ones] thinks is best.”
Reliant	D	“I prefer that my doctor [loved ones] make the final decision about which tests or treatments I receive after seriously considering my opinion.”	“I prefer that my doctor [loved ones] order tests or treatments for me based on what my doctor [loved ones] thinks is best, after having seriously considered my personal wishes.”
	E	“I prefer to leave all decisions about which tests or treatments I receive to my doctor [loved ones].”	“I prefer that my doctor order tests or treatments [loved ones tell my doctor which tests or treatments to order] for me based on what he or she thinks [they think] is best.”