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. Author manuscript; available in PMC: 2013 Sep 1.
Published in final edited form as: Med Care. 2012 Sep;50(9 0 2):S62–S68. doi: 10.1097/MLR.0b013e31825fb235

Appendix 1.

CAHPS 4.0 Health Plan Survey Core Composites (Updated December 2007)

Survey Composites and Items (Questions in this section relate to
the last 12 Months)
Response Format
Access: Getting Needed Care In the last 12 months… Never / Sometimes /
Usually / Always
Q17
How often was it easy to get an appointment with specialists?
N / S / U / A
Q21
How often was it easy to get the care, tests, or treatment you
thought you needed through your health plan
N/S/U/A
Access: Getting Care Quickly In the last 12 months… N / S / U / A
Q4
When you needed care right away, how often did you get care as
soon as you thought you needed?
N / S / U / A
Q6
Not counting the times you needed care right away, how often did
you get an appointment for your health care at a doctor's office or
clinic as soon as you thought you needed?
N / S / U / A
How Well Doctor Communicate In the last 12 months… N / S / U / A
Q11
How often did your personal doctor explain things in a way that
was easy to understand?
N / S / U / A
Q12
How often did your personal doctor listen carefully to you?
N / S / U / A
Q13
How often did your personal doctor show respect for what you had
to say?
N / S / U / A
Q14
How often did your personal doctor spend enough time with you?
N / S / U / A
Health Plan Customer Service In the last 12 months…
Q23
How often did your health plan's customer service give you the
information or help you needed?
N / S / U / A
Q24
How often did your health plan's customer service staff treat you
with courtesy and respect?
N / S / U / A
Global Ratings 0 (Worst to 10 (Best)
Q8
Using any number from 0 to 10, where 0 is the worst health care
possible and 10 is the best health care possible, what number
would you use to rate all your health care in the last 12 months?
0–10
Q15
Using any number from 0 to 10, where 0 is the worst personal
doctor possible and 10 is the best personal doctor possible, what
number would you use to rate your personal doctor?
0–10
Q19
[We want to know your rating of the specialist you saw most often
in the last 12 months.] Using any number from 0 to 10, where 0 is
the worst specialist possible and 10 is the best specialist possible,
what number would you use to rate that specialist?
0–10
Q27
Using any number from 0 to 10, where 0 is the worst health plan
possible and 10 is the best health plan possible, what number
would you use to rate your health plan?
0 10