Supplemental Access Items for the CAHPS Clinician & Group Survey 3.0: Adult

Population version: Adult

Download these items: English ( Word [ Microsoft Word file - 31.2 KB] )

Users of the CAHPS Clinician & Group Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local markets, and/or audiences. Some items cover events that occur with low frequency in the general population. You should include them only if your sample design is likely to yield a sufficient number of responses to those questions for statistical analysis and reporting.

Questions Placement and Other Instructions
AC1. In the last 6 months, how many days did you usually have to wait for an appointment when you needed care right away?
   __ Same day
   __ 1 day
   __ 2 to 3 days
   __ 4 to 7 days
   __ More than 7 days
After core question 6

Note: Do not insert precodes to the left of check boxes

AC2. In the last 6 months, how many days did you usually have to wait for an appointment for a check-up or routine care?  
   __ Same day
   __ 1 day
   __ 2 to 3 days
   __ 4 to 7 days
   __ 8 to 14 days
   __ 15 to 30 days
   __ More than 30 days
After core question 8

Note: Do not insert precodes to the left of check boxes

AC3. In the last 6 months, did you need care for yourself during evenings, weekends, or holidays?
   1 __ Yes
   2 __ No → If No, go to core question 9
After AC2

Note: If using AC3, change skip pattern for core question 7 to “If No, go to AC3

AC4. In the last 6 months, how often were you able to get the care you needed from this provider’s office during evenings, weekends, or holidays?
   1 __ Never
   2 __ Sometimes
   3 __ Usually
   4 __ Always
After AC3

Note: Use with AC3

AC5. In the last 6 months, did you contact this provider’s office with a medical question after regular office hours?
   1 __ Yes
   2 __ No → If No, go to AC7
After core question 10

Note: If using AC5, change skip pattern for core question 9 to “If No, go to AC5

AC6. In the last 6 months, when you contacted this provider’s office after regular office hours, how often did you get an answer to your medical question as soon as you needed?
    1 __ Never
   2 __ Sometimes
   3 __ Usually
   4 __ Always
After AC5

Note: Use with AC5

AC7. In the last 6 months, did you need to visit this provider's office after regular office hours?
   1 __ Yes
   2 __ No → If No, go to AC9
After AC6
AC8. In the last 6 months, how often were you able to get the care you needed from this provider's office after regular office hours?
   1 __ Never
   2 __ Sometimes
   3 __ Usually
   4 __ Always
After AC7

Note: Use with AC7

AC9. Wait time includes time spent in the waiting room and exam room. In the last 6 months, how often did you see this provider within 15 minutes of your appointment time?
  1 __ Never
  2 __ Sometimes
  3 __ Usually
  4 __ Always → If Always, go to core question 11
After AC8
AC10. In the last 6 months, after you checked in for your appointment at this provider's office, how often were you kept informed about how long you would need to wait for your appointment to start?
   1 __ Never
   2 __ Sometimes
   3 __ Usually
   4 __ Always
After AC9

Note: Use with AC9

Page last reviewed April 2016
Page originally created April 2016
Internet Citation: Supplemental Access Items for the CAHPS Clinician & Group Survey 3.0: Adult. Content last reviewed April 2016. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-access-items-cg-survey30-adult.html