Communication | When you go to your regular clinic and consult with your usual family doctor [health care provider], how do you rate the following? (poor, fair, good, or excellent)
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How thoroughly the doctor [provider] asks about your symptoms and how you are feeling -
How well the doctor [provider] listens to what you have to say -
How well the doctor [provider] puts you at ease during your physical examination -
How much the doctor [provider] involves you in decisions about your care -
How well the doctor [provider] explains your problems or any treatment that you need
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| Thinking about the personal aspects of care that you receive from your usual family doctor [health care provider], how do you rate the following? (poor, fair, good, or excellent)
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The amount of time the doctor [provider] spends with you -
The doctor’s [provider’s] patience with your questions or worries -
The doctor’s [provider’s] caring and concern for you
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Patient-provider relationships | Thinking about how well your usual family doctor [health care provider] knows you, how do you rate the following? (poor, fair, good, or excellent)
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His or her knowledge of your medical history -
His or her knowledge of what worries you most about your health -
His or her knowledge of your responsibilities at home, work, or school
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Enablement | After a visit to your regular family doctor’s office or medical clinic, to what extent does the advice or assistance provided do the following? (to a great extent, to some extent, to little or no extent)
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Help you better cope with your health problem or illness -
Help you to understand your health problem or illness better -
Help you keep yourself healthy
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