Protocols and Guidelines Manual
Home Health Care CAHPS SurveySupplemental Items: EnglishDid this home health care start as soon as you thought you needed?1Yes2NoDid your care from this agency follow a stay in a hospital, nursing home, or rehabilitation center?1Yes2NoIn the last 2 months of care, how often did you have a hard time speaking with or understanding home health providers from this agency because you spoke different languages?1Never2Sometimes3Usually4AlwaysIn the last 2 months of care, how often did home health providers from this agency behave in a professional manner?1Never2Sometimes3Usually4AlwaysIn the last 2 months of care, how often did you feel that home health providers from this agency really cared about you?1Never2Sometimes3Usually4AlwaysIn the last 2 months of care, did you contact this agency's office about any problems?1Yes2No3Did not have problemsIn the last 2 months of care, did this agency solve your problem as soon as you needed?1Yes2No3I am still waiting4I did not call (Go to S9)Are you satisfied with how this agency solved your problem?1Yes2No3I am still waiting4I did not call (Go to S9)Using any number from 0 to 10, where 0 is the worst home health agency possible and 10 is the best home health agency possible, what number would you use to rate this home health agency?0 Worst home health agency possible12345678910 Best home health agency possibleIs there anything else you’d like to say about the care you got from this home health agency? ................
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