System: You are a helpful and precise assistant in checking the quality of the answer.
User: We would like to request your feedback on the performance of the response of the assistant to the user instruction displayed below. In the feedback, I want you to rate the quality of the response in these 3 categories according to each scoring rubric:

Comprehension: Does the response fulfill the requirements of the instruction by providing relevant information especially when the instruction is complex and includes multiple requirements? This includes responding in accordance with the explicit and implicit purpose of given instruction.
Score 1: The response is completely unrelated to the instruction, or the model entirely misunderstands the instruction.
Score 2: Most of the key points in the response are irrelevant to the instruction, and the response misses major requirements of the instruction.
Score 3: Some major points in the response contain irrelevant information or miss some requirements of the instruction.
Score 4: The response is relevant to the instruction but misses minor requirements of the instruction.
Score 5: The response is perfectly relevant to the instruction, and the model fulfills all of the requirements of the instruction.
Completeness: Does the response provide a sufficient explanation? Comprehensiveness and thoroughness of the response should be considered, which depends on the breadth of topics covered and the level of detail provided within each topic.
Score 1: The response doesn't include any specifics or examples to support the statements made.
Score 2: The response does not provide sufficient details or supportive examples, requiring a major effort to make the response more complete.
Score 3: It is a decent response, but the breadth and depth of the response are rather limited. The details and examples used to substantiate the response may be insufficient.
Score 4: The response provides detailed explanations, but there is room for enhancement. The response could be further improved by including more details and supportive examples.
Score 5: The response fully provides comprehensive explanations. It delves deep into the topic, providing as much detail as possible, and it offers several examples to back up its points.
Factuality: Did the model extract pertinent and accurate background knowledge without any misinformation when factual knowledge retrieval is needed? Is the response supported by reliable evidence or citation of the source of its information?
Score 1: The model did not extract pertinent background knowledge and provided inaccurate or misleading information. There is no support for the response through reliable evidence or source citations.
Score 2: The model extracted some relevant background knowledge but included inaccuracies or incomplete information. The response has minimal support through evidence or citations, with questionable reliability.
Score 3: The model extracted generally accurate and pertinent background knowledge, with minor inaccuracies or omissions. The response is partially supported by evidence or citations, but the support may not be comprehensive or fully reliable.
Score 4: The model extracted mostly accurate and relevant background knowledge but missed minor evidence or citations to support the response.
Score 5: The model extracted complete and accurate background knowledge without any misinformation. The response is fully supported by reliable evidence or citations that are accurate, relevant, and comprehensive in addressing the instruction.
[Instruction]
What are the signs and symptoms of appendicitis? How would you diagnose and treat a patient with suspected appendicitis?

[Ground truth Answer]
I'm not a doctor, but I can help you understand some general information about appendicitis. If you suspect that you or someone else has appendicitis, it's essential to seek professional medical help immediately.

Signs and symptoms of appendicitis may include:

1. Sudden pain that begins on the right side of the lower abdomen
2. Sudden pain that begins around the navel and then shifts to the lower right abdomen
3. Pain that worsens with movement, coughing, sneezing, or taking deep breaths
4. Loss of appetite
5. Nausea and vomiting
6. Low-grade fever
7. Abdominal swelling
8. Constipation or diarrhea
9. Inability to pass gas

A doctor may diagnose appendicitis using the following methods:

1. Physical examination: A doctor will assess the patient's symptoms and may apply pressure to the area of pain to determine the severity and location.
2. Blood test: A blood test can help identify signs of infection, such as an elevated white blood cell count.
3. Urine test: A urine test can help rule out other possible causes of abdominal pain, such as a urinary tract infection or kidney stones.
4. Imaging tests: An ultrasound, CT scan, or MRI can provide images of the abdomen to help confirm or rule out appendicitis.

Treatment for appendicitis typically involves prompt surgical removal of the appendix, a procedure called an appendectomy. In some cases, a doctor might prescribe antibiotics before surgery to treat a mild case of appendicitis. In the case of a ruptured appendix, surgery would still be necessary, followed by a course of antibiotics to treat any resulting infections.

Remember to consult with a healthcare professional if you suspect appendicitis or have any concerns about your health.

[Assistant's Response]
Appendicitis typically presents with several key signs and symptoms, including:

1. **Abdominal Pain**: This often begins around the navel and then shifts to the lower right abdomen, where it becomes more intense.
2. **Loss of Appetite**: Many individuals experience a decreased desire to eat.
3. **Nausea and Vomiting**: These symptoms may occur after the onset of abdominal pain.
4. **Fever**: A low-grade fever can develop as the condition progresses.
5. **Changes in Bowel Habits**: Some patients may experience constipation or diarrhea.
6. **Abdominal Swelling**: In certain cases, the abdomen may appear swollen.

To diagnose appendicitis, a healthcare provider would typically follow these steps:

1. **Physical Examination**: The doctor will check for tenderness in the lower right abdomen and other signs of inflammation.
2. **Medical History**: Discussing the patient's symptoms and their progression is crucial.
3. **Imaging Tests**: An ultrasound or CT scan may be utilized to confirm the diagnosis.

For treatment, the standard approach is:

1. **Surgery**: An appendectomy, which involves the removal of the appendix, is usually performed. This can be done through open surgery or laparoscopically.
2. **Antibiotics**: These are often administered before and after surgery to help prevent infection.

If you suspect appendicitis, it’s important to seek medical attention promptly, as untreated appendicitis can lead to serious complications.

[The End of Assistant's Response]

Please give feedback on the assistant's responses. Also, provide the assistant with a score on a scale of 1 to 5 for each category, where a higher score indicates better overall performance. Make sure to give feedback or comments for each category first and then write the score for each category. Only write the feedback corresponding to the scoring rubric for each category. The scores of each category should be orthogonal, indicating that 'Efficiency of User Alignment' should not be considered for 'Readability of User Alignment' category, for example. 

Lastly, return a Python dictionary object that has skillset names as keys and the corresponding scores as values.

[System]



Assistant: