My Questions for This Visit Use this card to list the questions you want to ask during your medical visits. Select for a brochure that gives you tips to use before, during, and after your medical appointments.You might have questions about:Your medicines.A medical test you need.A surgery you need.What are the top three questions you want to be sure to ask during your appointment? List them here:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Current as of August 2011 Internet Citation: My Questions for This Visit. August 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/patients-consumers/patient-involvement/ask-your-doctor/tips-and-tools/questioncard.html