Getting Needed Care-Composite
In the last 12 months, how often did you get an appointment to see a specialist as soon as you needed?
- Never
- Sometimes
- Usually
- Always
In the last 12 months, how often was it easy to get the care, tests or treatment you needed?
- Never
- Sometimes
- Usually
- Always
Getting Care Quickly-Composite
In the last 12 months, when you needed care right away, how often did you get care as soon as you needed?
- Never
- Sometimes
- Usually
- Always
In the last 12 months, not counting 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 needed?
- Never
- Sometimes
- Usually
- Always
How Well Doctors Communicate-Composite
In the last 12 months, how often did your personal doctor listen carefully to you?
- Never
- Sometimes
- Usually
- Always
In the last 12 months, how often did your personal doctor explain things in a way that was easy to understand?
- Never
- Sometimes
- Usually
- Always
In the last 12 months, how often did your personal doctor show respect for what you had to say?
- Never
- Sometimes
- Usually
- Always
In the last 12 months, how often did your personal doctor spend enough time with you?
- Never
- Sometimes
- Usually
- Always
Customer Service-Composite
In the last 12 months, how often did your health plan's customer service give you the information or help you needed?
- Never
- Sometimes
- Usually
- Always
In the last 12 months, how often did your health plan's customer service staff treat you with courtesy and respect?
- Never
- Sometimes
- Usually
- Always
Claims Processing-Composite
In the last 12 months, how often did your health plan handle your claims quickly?
- Never
- Sometimes
- Usually
- Always
In the last 12 months, how often did your health plan handle your claims correctly?
- Never
- Sometimes
- Usually
- Always
Rating of Health Plan
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 Worst health plan possible
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10 Best health plan possible
Rating of All Health Care
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 Worst health care possible
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10 Best health care possible
Rating of Personal Doctor
Using any number from 0 to 10, where 0 is the worst personal doctor or nurse possible and 10 is the best personal doctor or nurse possible, what number would you use to rate your personal doctor or nurse?
- 0 Worst personal doctor possible
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10 Best personal doctor possible
Rating of Specialist
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 the specialist?
- 0 Worst specialist possible
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10 Best specialist possible
Preventive Care-Composite
When did you last have a blood pressure reading?
- Less than 12 months ago
- 1 to 2 years ago
- More than 2 years ago
Do you know if your blood pressure is too high?
- Yes it is too high
- No it is not too high
- More than 2 years ago
When did you last have a Pap smear test?
- Within the last 12 months
- 1 to 3 years ago
- More than 3 but less than 5 years ago
- 5 or more years ago
- Never had a Pap smear test
Are you under age 40?
When was the last time your breasts were checked by mammography?
- Within the last 12 months
- 1 to 2 years ago
- 2 years to less than 5 years ago
- 5 or more years ago
- Never had a mammogram
In which trimester is your pregnancy?
- First trimester
- Second trimester
- Third trimester
In which trimester did you first receive prenatal care?
- First trimester
- Second trimester
- Third trimester
Healthy Behaviors-Composite
Have you ever smoked at least 100 cigarettes in your entire life?
Do you now smoke every day, some days or not at all?
- Every day
- Some days
- Not at all
In the last 12 months, on how many visits were you advised to quit smoking by a doctor or other health provider in your plan?
- None
- 1 visit
- 2 to 4 visits
- 5 to 9 visits
- 10 or more visits
- I had no visits in the last 12 months
On how many visits did your doctor or health provider recommend or discuss methods and strategies (other than medication) to assist you with quitting smoking?
- None
- 1 visit
- 2 to 4 visits
- 5 to 9 visits
- 10 or more visits
- I had no visits in the last 12 months
How much do you weigh without your shoes on?
How tall are you without your shoes on?