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Doctor's Name_______________________________ Address & Phone_______________________________ |
| Interview Questions | Comments |
|---|---|
| Is the doctor "Board Certified?" | |
| How long has the doctor been in practice? | |
| What hospitals is the doctor affiliated with? | |
| Does the doctor take my insurance? | |
| Is there more than one doctor in the practice? Will I always see the same one? | |
| Does the doctor have more than one office? | |
| What are your office hours? | |
| How far in advance do I need to make an appointment? | |
| Interview Questions | Comments |
|---|---|
| What languages do you speak? | |
| Do you have philosophies and characteristics that make me feel comfortable? | |
| Would you be open to hearing/reading about new treatments, if I bring information in? | |
| Will all the equipment used on me be sterile? | |
| If I needed to speak with you right away, could I call you or would I need to leave a message and have you call me back? | |
| Are you conservative with medications and antibiotics? | |
| How do you feel about: prescribing antibiotics; prescribing steroids; alternative medicine; me voicing my own concerns? | |
| How would you feel: if I didn't want to take certain medications; if I brought the latest medical research to you, that I printed off the Internet? | |
| Thought Questions | Comments |
|---|---|
| Was the wait in the office long? | |
| Was the office staff courteous and helpful? | |
| Was the office clean? | |
| Did the doctor make you feel comfortable? | |
| Did the doctor genuinely care about my opinions or concerns? | |
| Does the doctor have any malpractice lawsuits against him/her? | |
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