1. | – in the patient's presence: |
| a) 0 | b) 1–2 | c) 3–7 | d) 8–10 | e) >10 |
2. | – outside the patient's presence: |
| a) 0 | b) 1–2 | c) 3–7 | d) 8–10 | e) >10 |
3. | If you have heard derogatory comments as noted in either question 1 or 2, how often do you find these comments to be appropriate? |
| a) never | b) rarely | c) sometimes | d) often |
4. | How conducive is the medical school environment to the open discussion of your ethical concerns? |
| a) very conducive | b) conducive | c) somewhat conducive | d) not very conducive | e) not at all conducive |
5. | Since being in medical school, do you think your personal code of ethics has been: |
| a) enhanced | b) stayed about the same | c) eroded | | |
6. | When you are a resident, do you think your personal code of ethics is most likely to: |
| a) decline | b) stay about the same | c) improve | | |
For questions 7–8, do you think this school has done a good job of fostering and nurturing your non-academic development as a: |
7. | Person: | a) Yes | b) No | | |
8. | Physician | a) Yes | b) No | | |
9. | If you had it to do all over again, would you still go to medical school? |
| a) Yes | b) Not sure | c) No | | |