Supplemental Items for the CAHPS Health Plan Survey 5.0: Health Literacy

Population version: Adult

Download these items: English (Word, 37 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-HL1. In the last 12 months, how often did your personal doctor ask if you had any questions about your health?

1 ☐ Never
2 ☐ Sometimes
3 ☐ Usually
4 ☐ Always

After core question 11

P-HL2. In the last 12 months, how often did your personal doctor use medical words you did not understand?

1 ☐ Never
2 ☐ Sometimes
3 ☐ Usually
4 ☐ Always

After core question 16

P-HL3. In the last 12 months, how often did your personal doctor talk too fast when talking with you?

1 ☐ Never
2 ☐ Sometimes
3 ☐ Usually
4 ☐ Always

After P-HL2

P-HL4. In the last 12 months, did you talk with your personal doctor about any health questions or concerns?

1 ☐ Yes
2 ☐ No → If No, go to P-HL8

After P-HL3

P-HL5. In the last 12 months, how often did your personal doctor show interest in your questions or concerns?

1 ☐ Never
2 ☐ Sometimes
3 ☐ Usually
4 ☐ Always

After P-HL4

Must use P-HL4 if using this item

P-HL6. In the last 12 months, how often did your personal doctor give you easy to understand information about these health questions or concerns?

1 ☐ Never
2 ☐ Sometimes
3 ☐ Usually
4 ☐ Always

After P-HL5

Must use P-HL4 if using this item

P-HL7. In the last 12 months, how often did your personal doctor answer all of your questions?

1 ☐ Never
2 ☐ Sometimes
3 ☐ Usually
4 ☐ Always

After P-HL6

Must use P-HL4 if using this item

P-HL8. In the last 12 months, how often did your personal doctor give you all the information you wanted about your health?

1 ☐ Never
2 ☐ Sometimes
3 ☐ Usually
4 ☐ Always

After P-HL7

P-HL9. In the last 12 months, did you see your personal doctor for a specific illness or for any health condition?

1 ☐ Yes
2 ☐ No → If No, go to P-HL13

After P-HL8

P-HL10. In the last 12 months, did your personal doctor give you instructions about what to do to take care of this illness or health condition?

1 ☐ Yes
2 ☐ No → If No, go to P-HL13

After P-HL9

Must use P-HL9 if using this item

P-HL11. In the last 12 months, how often were these instructions easy to understand?

1 ☐ Never
2 ☐ Sometimes
3 ☐ Usually
4 ☐ Always

After P-HL10

Must use P-HL9 and P-HL10 if using this item

P-HL12. In the last 12 months, how often did your personal doctor ask you to describe how you were going to follow these instructions?

1 ☐ Never
2 ☐ Sometimes
3 ☐ Usually
4 ☐ Always

After P-HL11

Must use P-HL9 and P-HL10 if using this item

P-HL13. In the last 12 months, did you start a prescription medicine?

1 ☐ Yes
2 ☐ No → If No, go to P-HL16

After P-HL12

P-HL14. In the last 12 months, how often did your personal doctor give you easy to understand instructions about how to take your medicines?

1 ☐ Never
2 ☐ Sometimes
3 ☐ Usually
4 ☐ Always

After P-HL13

Must use P-HL13 if using this item

P-HL15. In the last 12 months, how often did your personal doctor explain the possible side effects of your medicines in a way that was easy to understand?

1 ☐ Never
2 ☐ Sometimes
3 ☐ Usually
4 ☐ Always

After P-HL14

Must use P-HL13 if using this item

P-HL16. In the last 12 months, did your personal doctor order a blood test, x-ray, or other test for you?

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

After P-HL15

P-HL17. In the last 12 months, before you had a blood test, x-ray, or other test, how often did your personal doctor explain what it was for?

1 ☐ Never → If Never, go to P-HL19
2 ☐ Sometimes
3 ☐ Usually
4 ☐ Always

After P-HL16

P-HL18. In the last 12 months, how often was the explanation of what the test was for easy to understand?

1 ☐ Never
2 ☐ Sometimes
3 ☐ Usually
4 ☐ Always

After P-HL17

P-HL19. In the last 12 months, when your personal doctor ordered a blood test, x-ray, or other test for you, how often did someone from your personal doctor's office follow up to give you those test results?

1 ☐ Never
2 ☐ Sometimes
3 ☐ Usually
4 ☐ Always

After P-HL18

Must use with P-HL16 if using this item

P-HL20. In the last 12 months, how often were the results of your blood test, x-ray, or other test easy to understand?

1 ☐ Never
2 ☐ Sometimes
3 ☐ Usually
4 ☐ Always

After P-HL19

P-HL21. In the last 12 months, how often was the information you got from your health plan's customer service easy to understand?

1 ☐ Never
2 ☐ Sometimes
3 ☐ Usually
4 ☐ Always

After core question 22

P-HL22. In the last 12 months, did you look for any information about how your health plan works?

1 ☐ Yes
2 ☐ No → If No, go to P-HL32

After core question 26

Do not use if using P-HL27 or P-HL53

P-HL23. Did you find the information you needed about how your health plan works?

1 ☐ Yes
2 ☐ No → If No, go to P-HL32

After P-HL22

Must use P-HL22 if using this item

P-HL24. Was the information about how your health plan works easy to understand?

1 ☐ Yes → If Yes, go to P-HL32
2 ☐ No

After P-HL23

Must use P-HL22 and P-HL23 if using this item

P-HL25. Was there too much information about how your health plan works?

1 ☐ Yes
2 ☐ No

After P-HL24

Must use P-HL22, P-HL23, and P-HL24 if using this item

P-HL26. Was the information about how your health plan works confusing?

1 ☐ Yes
2 ☐ No

After P-HL25

Must use P-HL22, P-HL23, and P-HL24 if using this item

P-HL27. In the last 12 months, did you look for any information about your health plan's coverage and benefits?

1 ☐ Yes
2 ☐ No → If No, go to P-HL32

After core question 26

Do not use if using P-HL22 or P-HL53

P-HL28. Did you find the information you needed about your health plan's coverage and benefits?

1 ☐ Yes
2 ☐ No → If No, go to P-HL32

After P-HL27

Must use P-HL27 if using this item

P-HL29. Was the information about your health plan's coverage and benefits easy to understand?

1 ☐ Yes → If Yes, go to P-HL32
2 ☐ No

After P-HL28

Must use P-HL27 and P-HL28 if using this item

P-HL30. Was there too much information about your health plan’s coverage and benefits?

1 ☐ Yes
2 ☐ No

After P-HL29

Must use P-HL27, P-HL28, and P-HL29 if using this item

P-HL31. Was the information about your health plan’s coverage and benefits confusing?

1 ☐ Yes
2 ☐ No

After P-HL30

Must use P-HL27, P-HL28, and P-HL29 if using this item

P-HL32. In the last 12 months, did you look for any information from your health plan about how much you would have to pay for specific prescription medicines?

1 ☐ Yes
2 ☐ No →If No, go to P-HL37

After P-HL26 or P-HL31

P-HL33. Did you find the information you needed about how much you would have to pay for prescription medicines?

1 ☐ Yes
2 ☐ No → If No, go to P-HL37

After P-HL32

Must use P-HL32 if using this item

P-HL34. Was the information about how much you would have to pay for prescription medicines easy to understand?

1 ☐ Yes → If Yes, go to P-HL37
2 ☐ No

After P-HL33

Must use P-HL32 and P-HL33 if using this item

P-HL35. Was there too much information about how much you would have to pay for prescription medicines?

1 ☐ Yes
2 ☐ No

After P-HL34

Must use P-HL32, P-HL33, and P-HL34 if using this item

P-HL36. Was the information about how much you would have to pay for prescription medicines confusing?

1 ☐ Yes
2 ☐ No

After P-HL35

Must use P-HL32, P-HL33, and P-HL34 if using this item

P-HL37. Did you know you could make a complaint to your health plan about the care or services you received or decisions your health plan made?

1 ☐ Yes
2 ☐ No → If No, go to P-HL43

After P-HL36

This item only recommended for use if the referenced health plan includes prescription drug coverage

P-HL38. In the last 12 months, did you look for any information about how to make a complaint to your health plan?

1 ☐ Yes
2 ☐ No → If No, go to P-HL43

After P-HL37

Must use P-HL37 if using this item

P-HL39. Did you find the information you needed about how to make a complaint to your health plan?

1 ☐ Yes
2 ☐ No → If No, go to P-HL43

After P-HL38

Must use P-HL37 and P-HL38 if using this item

P-HL40. Was the information about how to make a complaint to your health plan easy to understand?

1 ☐ Yes → If Yes, go to P-HL43
2 ☐ No

After P-HL39

Must use P-HL37, P-HL38, and P-HL39 if using this item

P-HL41. Was there too much information about how to make a complaint?

1 ☐ Yes
2 ☐ No

After P-HL40

Must use P-HL37, P-HL38, P-HL39, and P-HL40 if using this item

P-HL42. Was the information about how to make a complaint confusing?

1 ☐ Yes
2 ☐ No

After P-HL41

Must use P-HL37, P-HL38, P-HL39, and P-HL40 if using this item

P-HL43. Sometimes people need special services or equipment such as care from a specialist, physical therapy, a hearing aid, or oxygen. In the last 12 months, did you look for any information from your health plan about how much you would have to pay for special services or equipment?

1 ☐ Yes
2 ☐ No → If No, go to P-HL48

After P-HL42

P-HL44. Did you find the information you needed about how much you would have to pay for special services or equipment?

1 ☐ Yes
2 ☐ No → If No, go to P-HL48

After P-HL43

Must use P-HL43 if using this item

P-HL45. Was the information about how much you would have to pay for special services or equipment easy to understand?

1 ☐ Yes → If Yes, go to P-HL48
2 ☐ No

After P-HL44

Must use P-HL43 and P-HL44 if using this item

P-HL46. Was there too much information about how much you would have to pay for special services or equipment?

1 ☐ Yes
2 ☐ No

After P-HL45

Must use P-HL43, P-HL44, and P-HL45 if using this item

P-HL47. Was the information about how much you would have to pay for special services or equipment confusing?

1 ☐ Yes
2 ☐ No

After P-HL46

Must use P-HL43, P-HL44, and P-HL45 if using this item

P-HL48. In the last 12 months, did you look for information from your health plan about how to stay healthy? Do not include information that was given to you at a doctor's office.

1 ☐ Yes
2 ☐ No → If No, go to P-HL53

After P-HL47

P-HL49. Did you find the information you needed about how to stay healthy?

1 ☐ Yes
2 ☐ No → If No, go to P-HL53

After P-HL48

Must use P-HL48 if using this item

P-HL50. Was the information about how to stay healthy easy to understand?

1 ☐ Yes → If No, go to P-HL53
2 ☐ No

After P-HL49

Must use P-HL48 and P-HL49 if using this item

P-HL51. Was there too much information about how to stay healthy?

1 ☐ Yes
2 ☐ No

After P-HL50

Must use P-HL48, P-HL49, and P-HL50 if using this item

P-HL52. Was the information about how to stay healthy confusing?

1 ☐ Yes
2 ☐ No

After P-HL51

Must use P-HL48, P-HL49, and P-HL50 if using this item

HP-L53. In the last 12 months, did you visit your health plan's Website to look for information?

1 ☐ Yes
2 ☐ No → If No, go to P-HL32

After P-HL52

Do not use if using P-HL22 or P-HL27

P-HL54. Was the information on your health plan's Website easy to understand?

1 ☐ Yes
2 ☐ No

After P-HL53

Must use P-HL53 if using this item

P-HL55. In the last 12 months, was it easy to find the information you needed on your health plan's Website?

1 ☐ Yes
2 ☐ No

After P-HL54

Must use P-HL53 if using this item

 

Page last reviewed May 2017
Page originally created May 2017
Internet Citation: Supplemental Items for the CAHPS Health Plan Survey 5.0: Health Literacy. Content last reviewed May 2017. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/cahps/surveys-guidance/item-sets/hp/suppl-healthlit-items-hp-survey50-adult.html