Optional Survey Questions (Multiple Choice) - GPSC

Optional Survey Questions (Multiple Choice) Physicians can choose from zero to five of these optional, multiple choice questions to include in your practice survey. Log in to www.howsyourhealthbc.ca with your access code to add the questions. NO. Question Responses: 1 Did your last office visit Not at all Slightly Moderately Quite a bit Extremely meet your expectations? 2 How often do you need to Never Almost Sometimes Usually Almost always Always have someone help you when you read instructions, pamphlets, or other written material from your doctor or pharmacist? never 3 Are you concerned about being able to afford prescription drugs? Not at all Slightly Moderately Quite a bit Extremely 4 When you are sick, can you see the person you identify as your doctor? 5 In the last 12 months, how often did you see your regular doctor within 15 minutes of your appointment time? 6 Do you have to drive over one half hour to visit your doctor’s office? 7 Regarding your last office visit, were you treated courteously by staff? 8 Thinking of your last visit, how would you rate your Doctor’s ability to answer your questions and plan for your health care needs until the next visit? 9 In the last 12 months, how often did your regular doctor explain things in a way that was easy to understand? Never Never Yes Slightly Almost never Almost never No Moderately Sometimes Usually Almost always Always Sometimes Usually Almost always Always Quite a bit Extremely Poor Fair Good Very good Excellent Never Almost never Sometimes Usually Almost always Always 1 of 2

10 In the last 12 months, how often did your regular doctor listen carefully to you? 11 In the last 12 months, did you and your regular doctor talk about healthy eating habits? 12 In the last 12 months, did you and your regular doctor talk about the exercise or physical activity you get? 13 In the last 12 months, did you and your regular doctor talk about things in your life that worry you or cause you stress? 14 In the last 12 months, did your regular doctor tell you there was more than one choice for your treatment or health care? 15 In the last 12 months, did your regular doctor talk with you about the pros and cons of each choice for your treatment or health care? 16 In the last 12 months, when there was more than one choice for your treatment or health care, did your regular doctor ask which choice you thought was best for you? 17 My health care providers take my cultural values, norms and traditions into account when we plan my care. Never Never Never Never Never Never Never Never Almost never Almost never Almost never Almost never Almost never Almost never Almost never Almost never Sometimes Usually Almost always Always Sometimes Usually Almost always Always Sometimes Usually Almost always Always Sometimes Usually Almost always Always Sometimes Usually Almost always Always Sometimes Usually Almost always Always Sometimes Usually Almost always Always Sometimes Usually Almost always Always 2 of 2