Statements	Strongly disagree	Disagree	Somewhat disagree	Somewhat agree	Agree	Strongly agree
1. I gave the doctor complete information about the physical symptoms I suffer from	1	2	3	4	5	6
2. I explained my problems to the doctor in a direct and clear way	1	2	3	4	5	6
3. I asked the doctor what are all the possible treatments for my condition	1	2	3	4	5	6
4. I asked the doctor how each treatment is carried out and what its side effects are	1	2	3	4	5	6
5. I asked the doctor what the chances for my recovery are for each of the possible treatments	1	2	3	4	5	6
6. When something in our conversations was unclear to me, I asked the doctor to explain it	1	2	3	4	5	6
7. I made it clear to the doctor what is more important to me – quality of life or extended life	1	2	3	4	5	6
8. I was a full partner in making the decision which treatment to choose	1	2	3	4	5	6
9. During the conversations I asked the doctor questions	1	2	3	4	5	6
10. I did not ask the doctor what my chances for my recovery are and how much time I have left to live	1	2	3	4	5	6
11. I discussed my fears and worries with the doctor	1	2	3	4	5	6
12. In our conversations, I was the one who initiated reference to my emotions	1	2	3	4	5	6
13. In our conversations, I was the one who initiated reference to my preferences for treatment	1	2	3	4	5	6
14. I made it clear to the doctor what is most important to me now as a result of my illness	1	2	3	4	5	6