[Table/Fig-1]:

Scores and Grade Equivalents for the REALM Questionnaire [14]

Raw score	Grade range
0-18	Third grade and below; will not be able to read most low-literacy materials; will need repeated oral instructions
19-44	Fourth to sixth grade; will need low-literacy materials, may not be able to read prescription labels
45-60	Seventh to eighth grade; will struggle with most patient education materials; will not be offended by low-literacy materials
61-66	High school; will be able to read most patient education materials