The goal of this study is to determine whether a novel questionnaire designed to illicit patient's self-reported expectations across four domains (overall purpose of visit, medication intervention, imaging intervention and disposition) improves patient-provider communication as evaluated by an exit survey during an emergency room visit.

Inclusion Criteria:

• Patients who arrive through the ED main entrance (non-EMS)
• Patients aged 18 years and older
• Patients who demonstrate decision making capacity
• Patients who willingly consent to participate

Exclusion criteria:

• Patients in distress (physical, emotional, or other) as determined by investigator
• Patients who demonstrate altered mental status or lack of capacity to consent
• Patients who require immediate medical intervention including diagnostic and/or treatment intervention
• Prisoners and patient under involuntary holds