1. Do you feel that you spend adequate time reviewing the discharge plan with a patient leaving the hospital?

YES NO

2. Do you feel that you speak slowly and clearly when you speak to a patient?

YES NO

3. When discussing a discharge plan with a patient, do you feel that you use wording that they can understand easily?

YES NO

4. On the day of discharge, do you always answer all of your patient’s questions before they leave the hospital?

YES NO

5. Do you think that you would benefit from additional training on patient communication?

YES NO

6. What is your current training level?

PGY1 PGY2 PGY3 PGY4 Attending Physician