Measure	Survey Questions	Response Items
Care coordination using the Picker Institute Scale	1) Did you know who was in charge of your care for each of your health problems?	Questions 1 to 4: [1]= No, [2]= Yes, sometimes, 3]= Yes, most of the time; or
	2) How often were the doctors, nurses and other health care providers who cared for you familiar with your most recent medical history?	Questions 5 to 8: [1]=Never, [2]=Rarely, [3]=Occasionally, [4]= Often, [5]= Very often
	3) How often were your providers aware of changes in your treatment that other providers recommended?
	4) Do you think your providers had all the information they needed, such as test results, to make decisions about your treatment?
	5) How often did you know who to ask when you had questions about your health problems?
	6) How often were you given confusing or differing information about your health or treatments?
	7) How often did you know what the next step in your care would be?
	8) How well did your health care providers work together?
Satisfaction with care	How satisfied have you been with…	[1]= Very dissatisfied, [2]=Dissatisfied, [3]= Neutral, [4]= Satisfied, [5]= Very satisfied
	1) the overall quality of care at your primary care clinic;
	2) being able to get an appointment in your clinic as soon as you think you need it;
	3) being able to get a telephone call or email answered from your primary care clinic as soon as you think you need it.
Integration of care using the Primary Care Assessment Tool	1) Did your primary care doctor suggest you go to the behavioral health provider?	[1]= Probably Not, [2]= Probably, and [3]= Definitely
	2) Did your doctor discuss with you different places you could have gone to get help with that problem?
	3) Did your doctor or someone working with your doctor help you make the appointment for that visit?
	4) Did your doctor provide any information for the behavioral health provider about the reason for the visit?
	5) Did the doctor know you made this visit to the behavioral health provider?
	6) Did your doctor know what the results of this visit were?
	7) After going to the behavioral health provider, did your doctor talk with you about what happened at the visit?
	8) Does your doctor seemed interested in the care you get from the behavioral health provider?
Care communication using the Connecting, Assessing, Responding, and Empowering (CARE Tool)	How was the doctor at…	[1]= Poor, [2]= Fair, [3]= Good, [4]= Very good, [5]= Excellent
	1) making you feel at ease
	2) letting you tell your story
	3) really listening
	4) being interested in you as a whole person
	5) fully understanding your concerns
	6) showing care and compassion
	7) being positive
	8) explaining things clearly
	9) helping you take control
	10) making a plan of action with you