web analytics

Evaluation

Are you trying to find out why a patient did not tell a physician important clinical information?

I did not tell this to the doctor because?

• the doctor never asked.

• I already told someone about it before.

• it didn't seem important.

• I did not want to bother the doctor.

• I was embarassed to tell the doctor.

• I did something stupid.

• I did something I am ashamed of.

• I was afraid that the insurance company would find out.

• I was afraid that my employer would find out.

• I was afraid that my spouse or family would find out.

• I was afraid that friends or neighbors would find out.

• I did something criminal.

• I did something I am not supposed to do.

• I have to keep some type of abusive behavior (physical, sexual, or substance) 'secret'.

Results

Please fill out required fields.