Supplemental Items for the CAHPS Clinician & Group Adult Survey 3.0: Interpreter Services
Population version: Adult
Download these items: English (Word, 34 KB); Spanish (Word, 29 KB; PDF, 142 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.
Related topic: Health Literacy. Organizations interested in items that assess interpreter services may also want to review and use supplemental items that ask about health literacy.
| Questions |
Placement and Other Instructions |
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C-IN1. An interpreter is someone who helps you talk with others who do not speak your language. In the last 6 months, did you need an interpreter at this provider's office?
1__Yes
2__No → If No, go to core question 21.
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After core question 20
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C-IN2. In the last 6 months, during visits to this provider's office, how often did you get an interpreter when you needed one?
1__Never → If Never, go to C-IN5
2__Sometimes
3__Usually
4__Always
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After C-IN1
Note: Use with C-IN1
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C-IN3. In the last 6 months, how often did this interpreter treat you with courtesy and respect?
1__Never
2__Sometimes
3__Usually
4__Always
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After C-IN2
Note: Use with C-IN1 and C-IN2 |
|
C-IN4. Using any number from 0 to 10, where 0 is the worst interpreter possible and 10 is the best interpreter possible, what number would you use to rate this interpreter?
__0 Worst interpreter possible
__1
__2
__3
__4
__5
__6
__7
__8
__9
__10 Best interpreter possible
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After C-IN3
Note: Use with C-IN1 and C-IN2
|
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C-IN5. In the last 6 months, how often did you use a friend or family member as an interpreter when you talked with this provider?
1__Never → If Never, go to core question 21
2__Sometimes
3__Usually
4__Always
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After C-IN4
Note: Use with C-IN1
|
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C-IN6. In the last 6 months, did you use a child younger than 18 to help you talk with this provider?
1__Yes
2__No
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After C-IN5
Note: Use with C-IN1 and C-IN5 |
|
C-IN7. What language would you like to talk to your provider in?
1__English
2__Spanish
3__[INSERT LANGUAGE]
4__[INSERT LANGUAGE]
5__Another language
|
After core question 29 |
