Medical Second Opinion Survey

1. Have you ever voluntarily sought a medical second opinion?

Have you ever voluntarily sought a medical second opinion? Yes

2. To the best of your knowledge, patients can receive a second opinion when which of the following are true? Check all that apply if more than one.

To the best of your knowledge, patients can receive a second opinion when which of the following are true? Check all that apply if more than one. Physician recommends surgery.

Physician diagnoses patient with serious illness (such as cancer) that patient does not believe they have.

Physician recommends a treatment for the patient other than what the patient believes is necessary.

When it is required by your insurance plan.

Patient believes they have a condition that physician fails to diagnose.

Physician themself recommends a second opinion.

Don't know

3. From the best of your knowledge, which of the following are true? Check all that apply if more than one.

From the best of your knowledge, which of the following are true? Check all that apply if more than one. You can seek a second opinion from another physician.

You can seek a second opinion from a referring physician.

You can seek a second opinion from a radiologist.

You can seek a second opinion from a referring radiologist.

You can seek a second opinion from an online source.

Don't know

4. What would make you feel most comfortable if you sought a second opinion? Check all that apply if more than one.

What would make you feel most comfortable if you sought a second opinion? Check all that apply if more than one. Your current physician reffering you to another professional.

Your current physician seeking the second opinion for you.

From a professional you sought out yourself.

Doesn't matter

5. How comfortable would you feel asking your current physician for a second opinion?

	Not comfortable				Comfortable				Very comfortable
1	*How comfortable would you feel asking your current physician for a second opinion? 1 Not comfortable	1	1	1	1 Comfortable	1	1	1	1 Very comfortable

6. Have you ever had a surgical procedure, or any type of medical scan? Check all that apply if more than one

Have you ever had a surgical procedure, or any type of medical scan? Check all that apply if more than one Surgical procedure

PET scan

MRI scan

CT scan

Ultrasound

Mammogram

Other

None

7. How comfortable would you feel receiving a second opinion online?

	Not comfortable				Comfortable				Very comfortable
1	*How comfortable would you feel receiving a second opinion online? 1 Not comfortable	1	1	1	1 Comfortable	1	1	1	1 Very comfortable

8. Would it make you feel more comfortable if you received an online consultation from the radiologist who read your scan?

	Still not comfortable				More comfortable				Very comfortable
1	*Would it make you feel more comfortable if you received an online consultation from the radiologist who read your scan? 1 Still not comfortable	1	1	1	1 More comfortable	1	1	1	1 Very comfortable

9. From the best of your knowledge, can you recieve a second opinion online for a medical scan? MRI, CT, PET or other?

From the best of your knowledge, can you recieve a second opinion online for a medical scan? MRI, CT, PET or other? Yes

Don't know

10. Please select two: Gender/Age

Please select two: Gender/Age Male

Female

18-24

25-35

36-45

46-55

55-older

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