The following talking points are meant to serve as tools to
assist in communication with your doctor. Why not take this test
to help identify how you communicate!
1) I have a hearing problem (check one): YES NO
2) I do not see well (check one): YES NO
3) Which shape do you relate to the most (check one):
Triangle Square Circle Squiggle
4) When speaking, the first thing I tell is the (check one):
Headline Details Closing point Setting
5) When my doctor listens, his/her listening style prefers to
hear which of the following first (check one):
Headline Details Closing point Setting
6) When giving directions I tell the next step (check one):
Before it comes When we are there After it has passed
7) I prefer a medical model that is based upon (check one):
My remaining in control
Shared decision making
Informed involvement with physician directed care
Physician directed care
8) Health care is (check one):
An opportunity to get well Unempowering Frightening
9) I care more about (check one):
What is done for me How it is delivered The outcome
