Questions Placement and Other Instructions HHL1. During this hospital stay, did hospital staff ask you to describe how you were going to take your medications when you were at home? 1 Yes 2 No Note: Before items HHL1 – HHL2, add a new subheading: “Information About Medications” Note: Add a new instruction before HHL1: “If you were not given any medication when you left the hospital, go to Question X.” Replace X with the number used for HHL3, or the next question in your survey. HHL2. During this hospital stay, did hospital staff tell you who to call if you had questions about your medications? 1 Yes 2 No After HHL1 HHL3. During this hospital stay, how often were nurses hard to understand because of the way they spoke your language? 1 Never 2 Sometimes 3 Usually 4 Always After HHL2 Note: Before items HHL3 – HHL9, add a new subheading: “Talking With Nurses” HHL4. During this hospital stay, how often did nurses use medical words you did not understand? 1 Never 2 Sometimes 3 Usually 4 Always After HHL3 HHL5. During this hospital stay, how often did nurses talk too fast when talking with you? 1 Never 2 Sometimes 3 Usually 4 Always After HHL4
HHL24. During this hospital stay, did you have to sign any forms? 1 Yes 2 No If No, go to HHL26 After HHL23 Note: Before items HHL24 – HHL31, add a new subheading: “Communication About Forms” HHL25. During this hospital stay, how often did hospital staff explain the purpose of a form before you signed it? 1 Never 2 Sometimes 3 Usually 4 Always After HHL24 Note: Use with HHL24 HHL26. During this hospital stay, did you have to fill out any forms? 1 Yes 2 No If No, go to HHL32 After HHL25 HHL27. During this hospital stay, how often did hospital staff offer you help to fill out a form? 1 Never 2 Sometimes 3 Usually 4 Always After HHL26 Note: Use with HHL26 HHL28. During this hospital stay, how often were the forms easy to fill out? 1 Never 2 Sometimes 3 Usually 4 Always After HHL27 Note: Use with HHL26 HHL29. During this hospital stay, how often were you given enough time to fill out forms? 1 Never 2 Sometimes 3 Usually 4 Always After HHL28 Note: Use with HHL26
HHL30. During this hospital stay, did you ever need forms in a language other than English? 1 Yes 2 No If No, go to HHL32 After HHL29 Note: Use with HHL26 HHL31. During this hospital stay, how often were the forms that you had to fill out or sign available in your language? 1 Never 2 Sometimes 3 Usually 4 Always After HHL30 Note: Use with HHL30 HHL32. After you left the hospital, did you go directly to your own home, to someone else’s home, or to another health facility? 1 Own home 2 Someone else’s home 2 Another health facility If Another, go to core question 26 After HHL31 Note: Before items HHL32 – HHL39, add a new subheading: “Information About How to Care for Yourself” Note: HHL32 repeats question 18 in the Adult HCAHPS Survey in order to set up the subsequent questions. Add the following instruction before HHL32: “We need you to answer the following question again although you have already answered it in the first part of the survey.” HHL33. During this hospital stay, did hospital staff give you a telephone number to call if you had problems after you left the hospital? 1 Yes 2 No After HHL32 Note: Use with HHL32 HHL34. During this hospital stay, did hospital staff tell you how to take care of yourself at home? 1 Yes 2 No If No, go to HHL36 After HHL33 Note: Use with HHL32