Table 4-1: Summary of Question Types and Categories Race, Ethnicity, and Language Data: Standardization for Health Care Qu Table 4-1. Summary of Question Types and CategoriesQuestion TypeQuestion Examples / CategoriesEnglish ProficiencyQuestion Examples: How would you rate your ability to speak and understand English? (Hasnain-Wynia et al., 2007)How well do you speak English? (Karliner et al., 2008)Categories: Very wellWellNot wellNot at all (Shin and Bruno, 2003)Spoken LanguageQuestion Examples: What language do you feel most comfortable speaking with your doctor or nurse? (Hasnain-Wynia et al., 2007)In what language do you prefer to receive your medical care? (Cambridge Health Alliance in RWJF, 2008b; Karliner et al., 2008)What language do you want us to speak to you in? (California Healthy Families, 2008a)What language do you prefer to speak when you come to the medical center? What language do you feel most comfortable speaking? (Tang, 2009)Categories: Names of specific languages in use in the United States, approximately 600 categoriesPlus: Other, please specify:____Sign language(s)Language Spoken at HomeQuestion Examples: What language do you speak at home? (Shin and Bruno, 2003)What language(s) do you usually speak at home? (NCHS, 2009)What is the primary language spoken at home? (Cambridge Health Alliance in RWJF, 2008b)Categories: Names of specific languages in use in the United StatesCensus denominator available for many but not all languagesWritten LanguageQuestion Examples: In which language would you feel most comfortable reading medical or healthcare instructions? (Hasnain-Wynia et al., 2007)What language should we write to you in? (California Healthy Families, 2008a)What is your preferred written language?aIn what language do you prefer to read health-related materials? (Cambridge Health Alliance in RWJF, 2008b)What language do you prefer for written materials? (Tang, 2009)Categories: Names of specific languages in use in the United StatesBrailleMandated: Threshold language categories may be required by law and applicable to an entity in different statesa Health Care Language Assistance Act of 2003, California S.B. 853 § 1367 (October 8, 2003).Return to Document Current as of March 2010 Internet Citation: Table 4-1: Summary of Question Types and Categories: Race, Ethnicity, and Language Data: Standardization for Health Care Qu. March 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4tab4-1.html