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Supplemental Items for the CAHPS Health Plan Adult Survey 5.0: Health Promotion & Education

Population version: Adult

Download these items: English (Word, 29 KB)

Users of the CAHPS® Health Plan 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
P-HP1. In the last 12 months, did you visit your personal doctor for care?

1__ Yes
2__ No → If No, go to core question 17

 After core question 16
P-HP2. In the last 12 months, did you and your personal doctor talk about specific things you could do to prevent illness?

1__ Yes
2__ No

 After P-HP1
P-HP3. In the last 12 months, did you need help from your personal doctor to make changes to prevent illness?

1__ Yes
2__ No → If No, go to P-HP5

 After P-HP2
P-HP4. In the last 12 months, did your personal doctor give you the help you needed to make changes to prevent illness?

1__ Yes, definitely
2__ Yes, somewhat
3__ No

 After P-HP3

Note: Use with P-HP3
P-HP5. In the last 12 months, did you and your personal doctor talk about healthy eating habits?

1__ Yes, definitely
2__ Yes, somewhat
3__ No

 After P-HP4
P-HP6. In the last 12 months, did you and your personal doctor talk about the exercise or physical activity you get?

1__ Yes, definitely
2__ Yes, somewhat
3__ No

 After P-HP5
P-HP7. In the last 12 months, did you and your personal doctor talk about things in your life that worry you or cause you stress?

1__ Yes, definitely
2__ Yes, somewhat
3__ No

 After P-HP6
P-HP8. In the last 12 months, did your personal doctor ask you whether there was a period of time when you felt sad, empty, or depressed?

1__ Yes
2__ No

 After P-HP7

 

Page last reviewed December 2018
Page originally created February 2018

Internet Citation: Supplemental Items for the CAHPS Health Plan Adult Survey 5.0: Health Promotion & Education. Content last reviewed December 2018. Agency for Healthcare Research and Quality, Rockville, MD.
https://www.ahrq.gov/cahps/surveys-guidance/item-sets/hp/suppl-health-promotion-education-hp-adult.html

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