8/19/2019 CAT-R (1)

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Form R

Communication Assessment Tool

Communication with patients is a very important part of quality medical care. We would

like to know how you feel about the way your resident physician communicated with you.

Your answers are completely confidential, so please be as open and honest as you can.

Thank you very much.

1 2 3 4 5

poor fair good very good excellent

Please use this scale to rate the resident physician’s communication ith you!

Circle your anser for each item "elo!

The doctor   poor ecellen

!. "reeted me in a way that made me feel comfortable ! # $ % &

#. Treated me with respect ! # $ % &

$. 'howed interest in my ideas about my health ! # $ % &

%. (nderstood my main health concerns ! # $ % &

&. )aid attention to me *looked at me, listened carefully+ ! # $ % &

. -et me talk without interruptions ! # $ % &

. "ave me as much information as / wanted ! # $ % &

0. Talked in terms / could understand ! # $ % &

1. Checked to be sure / understood everythin2 ! # $ % &

!3. 4ncoura2ed me to ask questions ! # $ % &

!!. /nvolved me in decisions as much as / wanted ! # $ % &

!#. 5iscussed net steps, includin2 any follow6up plans ! # $ % &

!$. 'howed care and concern ! # $ % &

!%. 'pent the ri2ht amount of time with me ! # $ % &

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