Name: ________________________
 
 
                Questionaire for a Doctor
 
 
  Are you to some degree still evolving your
conceptualization of how a body functions normally?             Yes    No
  I had a violent indigestion issue several years ago,
writhing in pain and vomiting for several hours.
If I had come to you, would you have asked what I ate?          Yes    No
  Do you have a theory of the cause and prevention of
appendicitus?                                                   Yes    No
  Doctor life expectency is often reported to be about 55
years. Are you fairly confident that you will reach 70?         Yes    No
  When you are presented with a patient who has done
exhaustive internet reading about their issue, quite eclipsing
your own reading, do you elicit any reporting from them or
write down the names of sites they found helpful?               Yes    No
  Do you consider yourself fairly adept at evoking placebo
effect in some people?                                          Yes    No
  Is it your hope or intent to teach your patient how to
competently act as their own physician on matters that
become familiar to them?                                        Yes    No
  Do you sometimes examine someone's dental health as a
basic aspect of diagnosis?                                      Yes    No
  Is AIDS a contagious disease caused by a virus?               Yes    No
  Have you spent a year or more of your life living
entirely on raw food?                                           Yes    No
  When faced with coping with someone with an unusually
baffling medical issue, do you level with them about
your confusion?                                                 Yes    No
  Can you run three city blocks nonstop?                        Yes    No
 
  Have you included and had success with any of the
following medicines:
           DMSO                                                 Yes    No
           Sodium Chlorine Dioxide                              Yes    No
           Spagyric medicine                                    Yes    No
           Grapefruit seed extract                              Yes    No
           Green smoothies                                      Yes    No
           Liver flush using epsom salt, grapefruit & oil       Yes    No
   
  On a scale of 1 to 10, what weight do you give a
patient's intuition about the nature of their own
malady?                 (none)  1 2 3 4 5 6 7 8 9 10  (equal to your own)
   
  How many years have you been a doctor?                     ______ years
   
  How many people share your current residence?              ______ people
 
  Do you have a definable range of real medical expertise?      Yes    No
Can you briefly describe that range?:
   
   
   
   
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