This free survey is powered by QUESTIONPRO.COM
0%
Exit Survey »
 
 
Physician is very encouraging.
 
Strongly Disagree
 
Slightly Disagree
 
Neutral
 
Slightly Agree
 
Strongly Agree
 
 
 
Physician is extremely friendly.
 
Strongly Disagree
 
Slightly Disagree
 
Neutral
 
Slightly Agree
 
Strongly Agree
 
 
 
Physician verbally acknowledge other's contributions.
 
Strongly Disagree
 
Slightly Disagree
 
Neutral
 
Slightly Agree
 
Strongly Agree
 
 
 
Physician is very relaxed.
 
Strongly Disagree
 
Slightly Disagree
 
Neutral
 
Slightly Agree
 
Strongly Agree
 
 
 
Physician's eyes reflect exactly what he/she is feeling.
 
Strongly Disagree
 
Slightly Disagree
 
Neutral
 
Slightly Agree
 
Strongly Agree
 
 
 
Physician is extremely open.
 
Strongly Disagree
 
Slightly Disagree
 
Neutral
 
Slightly Agree
 
Strongly Agree
 
 
 
Physician is open and honest.
 
Strongly Disagree
 
Slightly Disagree
 
Neutral
 
Slightly Agree
 
Strongly Agree
 
 
 
Physician usually leaves me with an impression I usually remember.
 
Strongly Disagree
 
Slightly Disagree
 
Neutral
 
Slightly Agree
 
Strongly Agree
 
 
 
The way physician says something really leaves an impression on me.
 
Strongly Disagree
 
Slightly Disagree
 
Neutral
 
Slightly Agree
 
Strongly Agree
 
 
 
The physician leaves a definite impression.
 
Strongly Disagree
 
Slightly Disagree
 
Neutral
 
Slightly Agree
 
Strongly Agree
 
Survey Software Powered by QuestionPro Survey Software