Academy of Family Practitioners Questionnaire - Lutheran Metropolitan Ministry

Evaluating Medical Decision-Making Capacity

These questions aim to determine the patient's ability to understand treatment and care options.

Step 1 of 3

Questions to determine the patient's ability to understand treatment and care options

1. What is your understanding of your condition?(Required)

2. What are the options for your situation?(Required)

3. What is your understanding of the benefits of treatment and what are the odds that the treatment will work for you?(Required)

4. What are the risks of treatment and what are the odds that you may have a side effect or bad outcome?(Required)

5. What is your understanding of what will happen if nothing is done?(Required)