CAHPS Hospital Survey - Adult
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  • 1. During this hospital stay, how often did nurses treat you with courtesy and respect?
  • 2. During this hospital stay, how often did nurses listen carefully to you?
  • 3. During this hospital stay, how often did nurses explain things in a way you could understand?
  • 4. During this hospital stay, after you pressed the call button, how often did you get help as soon as you wanted it?
  • 5. During this hospital stay, how often did doctors treat you with courtesy and respect?
  • 6. During this hospital stay, how often did doctors listen carefully to you?
  • 7. During this hospital stay, how often did doctors explain things in a way you could understand?
  • 8. During this hospital stay, how often were your room and bathroom kept clean?
  • 9. During this hospital stay, how often was the area around your room quiet at night?
  • 10. During this hospital stay, did you need help from nurses or other hospital staff in getting to the bathroom or in using a bedpan?
  • 11. How often did you get help in getting to the bathroom or in using a bedpan as soon as you wanted?
  • 12. During this hospital stay, were you given any medicine that you had not taken before?
  • 13. Before giving you any new medicine, how often did hospital staff tell you what the medicine was for?
  • 14. Before giving you any new medicine, how often did hospital staff describe possible side effects in a way you could understand?
  • 15. After you left the hospital, did you go directly to your own home, to someone else’s home, or to another health facility?
  • 16. During this hospital stay, did doctors, nurses or other hospital staff talk with you about whether you would have the help you needed when you left the hospital?
  • 17. During this hospital stay, did you get information in writing about what symptoms or health problems to look out for after you left the hospital?
  • 18. Using any number from 0 to 10, where 0 is the worst hospital possible and 10 is the best hospital possible, what number would you use to rate this hospital during your stay?
  • 19. Would you recommend this hospital to your friends and family?
  • 20. During this hospital stay, staff took my preferences and those of my family or caregiver into account in deciding what my health care needs would be when I left.
  • 21. When I left the hospital, I had a good understanding of the things I was responsible for in managing my health.
  • 22. When I left the hospital, I clearly understood the purpose for taking each of my medications.
  • 23. During this hospital stay, were you admitted to this hospital through the Emergency Room?
  • 24. In general, how would you rate your overall health?
  • 25. In general, how would you rate your overall mental or emotional health?
  • 26. What is the highest grade or level of school that you have completed?
  • 27. Are you of Spanish, Hispanic or Latino origin or descent?
  • 28. What is your race? Please choose one or more.
  • 29. What language do you mainly speak at home?

Supplemental Item Sets Hide Numbering

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    • H IN1. What is your preferred language?
    Interpreter Services
    • H-IN2. An interpreter is someone who helps you talk with others who do not speak your language. During this hospital stay, did you need an interpreter to talk with someone at this hospital?
    • H-IN3. During this hospital stay, did hospital staff tell you that you had a right to interpreter services free of charge?
    • H-IN4. During this hospital stay, how often did you have an interpreter at this hospital when you needed one?
    • H-IN5. During this hospital stay, how often did you use a friend or family member as an interpreter when you talked with hospital staff?
    • H-IN6. 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?
    • H-IN7. During this hospital stay, how often did you have to wait 15 minutes or longer for the interpreter provided by the hospital to come help you?
    Interpreter Services
    • H-IN8. During this hospital stay, how often did you use a friend or family member as an interpreter when you talked with hospital staff?
    • H-IN9. During this hospital stay, did you use a child younger than 18 to help you talk with hospital staff?
    • H-IN10. During this hospital stay, did you use friends or family members as interpreters because that was what you preferred?
    Information About Medications
    • H-HL1. During this hospital stay, did hospital staff ask you to describe how you were going to take your medications when you were at home?
    • H-HL2. During this hospital stay, did hospital staff tell you who to call if you had questions about your medications?
    Talking With Nurses
    • H-HL3. During this hospital stay, how often were nurses hard to understand because of the way they spoke your language?
    • H-HL4. During this hospital stay, how often did nurses use medical words you did not understand?
    • H-HL5. During this hospital stay, how often did nurses talk too fast when talking with you?
    • H-HL6. During this hospital stay, how often did nurses interrupt you when you were talking?
    • H-HL7. During this hospital stay, how often did nurses answer all your questions to your satisfaction?
    • H-HL8. During this hospital stay, how often did nurses use a condescending, sarcastic, or rude tone or manner with you?
    • H-HL9. During this hospital stay, how often did you feel nurses really cared about you as a person?
    Talking With Doctors
    • H-HL10. During this hospital stay, how often were doctors hard to understand because of the way they spoke your language?
    • H-HL11. During this hospital stay, how often did doctors use medical words you did not understand?
    • H-HL12. During this hospital stay, how often did doctors talk too fast when talking with you?
    • H-HL13. During this hospital stay, how often did doctors use pictures, drawings, models, or videos to explain things to you?
    • H-HL14. During this hospital stay, how often did doctors interrupt you when you were talking?
    • H-HL15. During this hospital stay, how often did doctors answer all your questions to your satisfaction?
    • H-HL16. During this hospital stay, how often did doctors make sure you understood all the information you were given?
    • H-HL17. During this hospital stay, how often did doctors use a condescending, sarcastic, or rude tone or manner with you?
    • H-HL18. During this hospital stay, how often did you feel doctors really cared about you as a person?
    Talking About Tests
    • H-HL19. During this hospital stay, did you have a blood test, x-ray, or other test?
    • H-HL20. During this hospital stay, before you had a blood test, x-ray, or other test, how often did hospital staff explain what it was for?
    • H-HL21. How often was the explanation of what the test was for easy to understand?
    Talking About Tests
    • H-HL19b. During this hospital stay, did you have a blood test, x-ray, or other test?
    • H-HL22. During this hospital stay, when you had a blood test, x-ray, or other test, how often did hospital staff explain the results to you?
    • H-HL23. How often were the results of your blood test, x-ray, or other test easy to understand?
    Communication About Forms
    • H-HL24. During this hospital stay, did you have to sign any forms?
    • H-HL25. During this hospital stay, how often did hospital staff explain the purpose of a form before you signed it?
    Communication About Forms
    • H-HL26. During this hospital stay, did you have to fill out any forms?
    • H-HL27. During this hospital stay, how often did hospital staff offer you help to fill out a form?
    • H-HL28. During this hospital stay, how often were the forms easy to fill out?
    • H-HL29. During this hospital stay, how often were you given enough time to fill out forms?
    Communication About Forms
    • H-HL26b. During this hospital stay, did you have to fill out any forms?
    • H-HL30. During this hospital stay, did you ever need forms in a language other than English?
    • H-HL31. During this hospital stay, how often were the forms that you had to fill out or sign available in your language?
    Information About How to Care for Yourself
    • H-HL32. After you left the hospital, did you go directly to your own home, to someone else’s home, or to another health facility?
    • H-HL33. During this hospital stay, did hospital staff give you a telephone number to call if you had problems after you left the hospital?
    • H-HL34. During this hospital stay, did hospital staff tell you how to take care of yourself at home?
    • H-HL35. Was this information about how to take care of yourself at home easy to understand?
    • H-HL36. During this hospital stay, did you get instructions in writing about how to take care of yourself at home?
    • H-HL37. Were the written instructions about how to take care of yourself at home easy to understand?
    • H-HL38. Did you need written instructions about how to take care of yourself at home in a language other than English?
    • H-HL39. Were the written instructions about how to take care of yourself at home available in your language?