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APPENDIX
Appendix 1. STAI questionnaire
Very
Not
much
at all Somewhat Moderately so so
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
I feel calm
I feel secure
I am tense
I am regretful
I feel at ease
I feel upset
I am presently worrying about possible
misfortunes
I feel rested
I feel anxious
I feel comfortable
I feel self-confident
I feel nervous
I am jittery
I feel "high strung"
I am relaxed
I feel content
I am worried
I feel over-excited and rattled
I feel joyful
I feel pleasant
Appendix 2. BATHE questions
Original questions
Modified questions
B
Background
What is going on in your life?
What brings you here?
A
Affect
T
Trouble
How have you felt about the idea
of having surgery?
What about the surgery worries
you most?
H
Handling
E
Empathy
“How do you feel about that?” or
“What is your mood?”
“What about the situation troubles
you the most?” or “Is there
anything about that that troubles
you?”
“How are you handling that?” or
“How could you handle that?”
“That must be very difficult for
you.”
How are you handling that?
It’s perfectly normal to be
nervous about surgery. Let me
explain what will happen on the
day of your surgery
Appendix 3. Satisfaction Questionnaire
Very
bad
1
2
3
4
5
6
7
8
9
10
11
Friendliness/courtesy of your doctor
Explanations your doctor provided about any
problem/condition you may have
Concern your doctor showed for your
questions/worries
Your doctor’s efforts to include you in decisions
about your treatment
Information your doctor gave you about your
medications
Instructions your doctor gave you about follow-up
care
Degree to which your doctor talked with you using
words you could understand
Amount of time your doctor spent with you
Your confidence in this doctor
Likelihood of your recommending this doctor to
others
Please rate your overall satisfaction with today’s
visit to your doctor
Very
Bad Middle Good good
Appendix.pdf (PDF, 122.44 KB)
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