The questions on this questionnaire ask you about the relationship between you and your doctor. All should be rated on the following scale:

0=Never

1=Rarely

2=Sometimes

3=Usually

4=Always

1. I complain to my doctor if I notice side-effects of a medication.
2. I read up on my own about new medications and treatment.
3. I ask my doctor questions about new treatments and new research.
4. I suggest possible useful treatments to my doctor.
5. I tell my doctor about any “alternative” treatments I am using (such as meditation, herbs, acupuncture, etc.).
Table 1: Items from the Doctor-Patient Relationship: Active Patient Involvement Scale.
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