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Questions about your experience with our DVD

Please indicate if the DVD : Taking Control Making the Most of Your Doctors Visit


You may also view our tabulated results without completing the survey.

1. Improved your communication with your health provider
very much     somewhat     not at all    

2. Caused you to look at your relationship with your health provider differently
very much     somewhat     not at all    

3. Encouraged you to ask the needed questions in order to better understand your health condition
very much     some what     not at all    

4. After viewing the DVD: Taking Control Making the Most of Your Doctors Visit did you feel comfortable with the plan you and your health provider designed to help you with your health condition ?
yes     somewhat     no    

5. After viewing the DVD: Taking Control Making the Most of Your Doctors Visit did you follow the medical plan completely suggested by your health provider?
yes     somewhat     no    

6. Demographic:
<18     18-35     36-50     51-65     >65    

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