Service Provider Questionnaire
You can use the enclosed questionnaire in either of two ways:
1) Mail it to a service provider when you want more information on which to
base a decision as to whether to have that professional work with you or
2) If you prefer to interview in person the service provider you are
considering, take the questionnaire along as a list of questions to ask.
Among the service providers you may want to consider are: physicians,
attorneys, psychiatrists, psychologists, neuropsychologists, educators, teachers,
trainers, chiropractors, cognitive therapists, physical therapists, speech
therapists, rehabilitation specialists, nutritionists, herbalists, life and care planning
specialists, care givers and others.
Most providers are willing to answer questions about their treatments or services.
After the professional answers a question, if you still need more clarity, you could
ask: Would you please say that a different way? Could you give some
It you are feeling uncomfortable with or having trouble understanding the service
provider's answer to one of the questions, you might request that the person
speak more slowly or speak more softly.
Remember that you do not need to make a decision at the conclusion of the
interview--you can tell the provider that you will be getting back in touch with
them after you have had a chance to think over the things they have said.
AND, you can trust your "gut reaction": one instructor in a class on "Trauma"
once commented that people who have experienced a major trauma have a clear
sense of knowing, "Does this person really have my best interests at heart?"