HHL30. During this hospital stay, did you ever need forms in a After HHL29 language other than English? Note: Use with HHL26 1 Yes 2 No If No, go to HHL32 HHL31. During this hospital stay, how often were the forms that you After HHL30 had to fill out or sign available in your language? Note: Use with HHL30 1 Never 2 Sometimes 3 Usually 4 Always HHL32. After you left the hospital, did you go directly to your own After HHL31 home, to home, or to another health facility? someone else’s Note: Before items HHL32 – 1 Own home HHL39, add a new 2 Someone else’s home subheading: “Information 2 Another health facility If Another, go to core About How to Care for question 26 Yourself” Note: HHL32 repeats question 18 in the Adult HCAHPS Survey in order to set up the subsequent questions. Add the following instruction before HHL32: need you to answer the “We following question again although you have already answered it in the first part of the survey.” During this hospital stay, did hospital staff give you a After HHL32 HHL33. telephone number to call if you had problems after you left the hospital? Note: Use with HHL32 1 Yes 2 No HHL34. During this hospital stay, did hospital staff tell you how to After HHL33 take care of yourself at home? Note: Use with HHL32 1 Yes 2 No If No, go to HHL36
HHL30. During this hospital stay, did you ever need forms in a language other than English? 1 Yes 2 No If No, go to HHL32 After HHL29 Note: Use with HHL26 HHL31. During this hospital stay, how often were the forms that you had to fill out or sign available in your language? 1 Never 2 Sometimes 3 Usually 4 Always After HHL30 Note: Use with HHL30 HHL32. After you left the hospital, did you go directly to your own home, to someone else’s home, or to another health facility? 1 Own home 2 Someone else’s home 2 Another health facility If Another, go to core question 26 After HHL31 Note: Before items HHL32 – HHL39, add a new subheading: “Information About How to Care for Yourself” Note: HHL32 repeats question 18 in the Adult HCAHPS Survey in order to set up the subsequent questions. Add the following instruction before HHL32: “We need you to answer the following question again although you have already answered it in the first part of the survey.” HHL33. During this hospital stay, did hospital staff give you a telephone number to call if you had problems after you left the hospital? 1 Yes 2 No After HHL32 Note: Use with HHL32 HHL34. During this hospital stay, did hospital staff tell you how to take care of yourself at home? 1 Yes 2 No If No, go to HHL36 After HHL33 Note: Use with HHL32
suppl_health_lit_items_hcahps-adult_957-3a.docx