Empathy survey

 
Please rate each of the following statements about your most recent consultation (2 weeks or less) with your doctor or health therapist
1. How was the doctor at...
Making you feel at ease
(being friendly and warm towards you, treating you with respect; not cold or abrupt)
2. How was the doctor at...
Letting you tell "your story"
(giving you time to fully describe your illness in your own words; not interpreting or diverting you)
3. How was the doctor at...
Really listening
(paying close attention to what you were saying; not looking at the notes or computer as you were talking)
4. How was the doctor at...
Being interested in you as a whole person
(asking/knowing relevant details about your life, your situation; not treating you as "just a number')
5. How was the doctor at...
Showing care and compassion
(seeming genuinely concerned, connecting with you on a human level; not being indifferent or "detached")
6. How was the doctor at
Fully understanding your concerns
(communicating that he/she had accurately understood your concerns; not overlooking or dismissing anything)
7. How was the doctor at
Being positive
(having a positive approach and a positive attitude; being honest but not negative about your problems)
8. How was the doctor at...
Explaining things clearly
(fully answering your questions, explaining clearly, giving you adequate information; not being vague)
9. How was the doctor at...
Helping you take control
(exploring with you what you can do to improve your health yourself; encouraging rather than : "lecturing" you)
10. how was the doctor at...
Making a plan of action with you
(discussing the options, involving you in decisions as much as you want to be involved; not ignoring your views)
11. How much empathy did your doctor show (Score out of 10 ie. 0=no empathy, 10=completely empathic)
12. How important is it to you for your doctor to be empathic?
13. Do you think having a doctor who is emapthic effects the outcome of your treatment?
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