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collaboRATE  | for patients ​

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Thinking about the appointment you have just had ...


1. How much effort was made to help you understand your health issues?

        0                1                2                3                4                5                6                7                8                9
No effort                                                                                                                                                     Every effort
was made                                                                                                                                                      was made


2. How much effort was made to listen to the things that matter most to you about your health issues?

        0                1                2                3                4                5                6                7                8                9
No effort                                                                                                                                                     Every effort
was made                                                                                                                                                      was made


3. How much effort was made to include what matters most to you in choosing what to do next?

        0                1                2                3                4                5                6                7                8                9
No effort                                                                                                                                                     Every effort
was made                                                                                                                                                      was made



Alternate opening statements:*

Thinking about the visit you had with your health care provider today ...

Thinking about the conversation you had with your [insert health care provider] today about [insert issue]...

Thinking about the appointment you have just had, please show how you feel by choosing a number from 0 to 9.

​
*Please note that these alternate opening statements have not undergone psychometric validation.
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