1. When communicating with my physician‚ I feel tense.
2. When communicating with my physician‚ I feel calm.
3. When communicating with my physician‚ I feel jittery.
4. When communicating with my physician‚ I feel nervous.
5. When communicating with my physician‚ I feel relaxed.
1 = not at all; 2 = somewhat; 3 = moderately so; 4 = very much so
Scoring:
Step 1. Add the scores for items 1‚ 3‚ and 4.
Step 2. Add the scores for items 2 and 5.
Step 3. Complete the following formula: FOP = 15 + total for Step 1 – total for Step 2.
Scores above 13 indicates high fear of physician. Scores below 7 indicate low fear of physician. Scores between 7 and 13 indicate moderate fear of physician.
This instrument can be found at: http://www.jamescmccroskey.com/measures/fop.htm
Richmond‚ V. P.‚ Smith‚ R. S.‚ Heisel‚ A. M.‚ & McCroskey‚ J. C. (1998). The impact of communication apprehension and fear of talking with a physician and perceived medical outcomes. Communication Research Reports‚ 15‚ 344-353.