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. Author manuscript; available in PMC: 2018 Jun 1.
Published in final edited form as: Patient Educ Couns. 2016 Dec 19;100(6):1128–1135. doi: 10.1016/j.pec.2016.12.020

Table 1. Patient perception of patient-centeredness*.

1. To what extent was your main problem(s) discussed today?
Completely Mostly A little Not at all
2. Would you say that your doctor knows that this was one of your reasons for coming in today?
Yes Probably Unsure No
3. To what extent did the doctor understand the importance of your reason for coming in today?
Completely Mostly A little Not at all
4. How well do you think your doctor understood you today?
Very well Well Somewhat Not at all
5. How satisfied were you with the discussion of your problem?
Very satisfied Satisfied Some what satisfied Not satisfied
6. To what extent did the doctor explain this problem to you?
Completely Mostly A little Not at all
7. To what extent did you agree with the doctor's opinion about the problem?
Completely Mostly A little Not at all
8. How much opportunity did you have to ask your questions?
Very much A fair amount A little Not at all
9. To what extent did the doctor ask about your goals for treatment?
Completely Mostly A little Not at all
10. To what extent did the doctor explain treatment?
Very well Well Somewhat Not at all
11. To what extent did the doctor explore how manageable this (treatment) would be for you? He/she explored this:
Completely Mostly A little Not at all
12. To what extent did you and the doctor discuss your respective roles? (Who is responsible for making decisions and who is responsible for what aspects of your care?)
Completely Mostly A little Not at all
13. To what extent did the doctor encourage you to take the role you wanted in your own care?
Completely Mostly A little Not at all
14. How much would you say that this doctor cares about you as a person?
Very much A fair amount A little Not at all
15. Overall, how satisfied were you with today's visit with this doctor?
Completely Mostly A little Not at all
*

Questions 1-14 comprise the patient perception of patient centeredness measure developed by Stewart, Brown, Weston et al. (2014). Question 15 was added for the purposes of this study.