Table 2.
Survey Questions
| Question text | Response set | Question source |
|---|---|---|
| Thinking about the appointment you have just had with your primary care provider ... | ||
| How much effort was made to help you understand your health issues? | 0 (no effort) to 9 (every effort) | collaboRATE [6] |
| How much effort was made to listen to the things that matter most to you about your health issues? | 0 (no effort) to 9 (every effort) | collaboRATE [6] |
| How much effort was made to include what matters most to you in choosing what to do next? | 0 (no effort) to 9 (every effort) | collaboRATE [6] |
| How well were your needs met today? | 5-option scale, “Not at all” to “Completely” | Veteran consultant |
| Overall, how satisfied are you with your visit with your primary care provider today? | 6-option scale, “Very dissatisfied” to “Very satisfied” | VA Survey of Healthcare Experiences of Patients (SHEP)* |
| In general, would you say your health is ... | 5-option scale, “Excellent” to “Poor” | SF-36 [37] |
| What is your age? | 6-option scale, “18–29” to “65 or older” | Research team |
| Questions asked and completed by RA | ||
| Is this your regular primary care provider who you usually see? | “Yes” or “No” | Research team |
| Was your visit today a ROUTINE SCHEDULED visit or a SICK visit? | “Routine” or “Sick” | Research team |
*This question was modified from the 2016 VA SHEP Community Care survey. The VA SHEP survey questions are identical to those found in the Consumer Assessment of Healthcare Providers and Systems (CAHPS), which is used to assess patient experiences of care