|
Confidence |
| PAINSTRC |
How confident are you that you can follow instructions to care for yourself at home? |
| PAMEDREC |
How confident are you that you can follow this kind of instruction, to change your habits or lifestyle? |
| PANECESS |
Please tell me how confident are you that you can identify when it is necessary for you to get medical care. |
| PASIDEFX |
How confident are you that you can identify when you are having side effects from your medications? |
|
Communication |
| PAANSWR |
Do you … leave your doctor’s office feeling that all of your concerns or questions have been fully answered? |
| PADREXPL |
My doctor explains things to me in terms that I can easily understand. |
| PADRLISN |
My doctor listens to what I have to say about my symptoms and concerns. |
| PADVICE |
I can call my doctor’s office to get medical advice when I need it. |
|
Information Seeking |
| PADRQUEX |
Do you … bring with you to your doctor visits a list of questions or concerns you want to cover? |
| PAHCONDS |
Do you … read about health conditions in newspapers, magazines, or on the internet? |
| PALISTRX |
Do you … take a list of all of your prescribed medicines to your doctor visits? |
| PAOPTION |
Do you … talk with your doctor or other medical person about your options if you need tests or follow-up care? |
| PARXINFO |
Do you … read information about a new prescription, such as side effects and precautions? |
| PATRSLT |
Do you … make sure you understand the results of any medical test or procedure? |
|
Other Questions |
| PACHGDRS |
How likely are you to change doctors if you are dissatisfied with the way you and your doctor communicate? |
| PADISAGR |
How likely are you to tell your doctor when you disagree with him or her? |
