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Supplemental Items for the CAHPS Clinician & Group Adult Survey 3.0: Shared Decisionmaking

Population version: Adult

Download these items: English (Word, 29 KB)

Users of the CAHPS Clinician & Group Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local markets, and/or audiences. Some items cover events that occur with low frequency in the general population. You should include them only if your sample design is likely to yield a sufficient number of responses to those questions for statistical analysis and reporting.

Questions Placement and Other Instructions
C-SD1. In the last 6 months, did you and this provider talk about starting or stopping a prescription medicine?

1__ Yes
2__ No â†’ If No, go to C-SD5

 After core question 17

Note: Use C-SD1-4 together, if using C-SD1
C-SD2. Did you and this provider talk about the reasons you might want to take the medicine?

1__ Yes
2__ No

 After C-SD1

Note: Use C-SD1-4 together
C-SD3. Did you and this provider talk about the reasons you might not want to take the medicine?

1__ Yes
2__ No

 After C-SD2

Note: Use C-SD1-4 together
C-SD4. When you talked about starting or stopping a prescription medicine, did this provider ask what you thought was best for you?

1__ Yes
2__ No

 After C-SD3

Note: Use C-SD1-4 together
C-SD5. In the last 6 months, did you and this provider talk about having surgery or any type of procedure?

1__ Yes
2__ No â†’ If No, go to core question 18

 After C-SD4

Note: Use C-SD5-8 together
C-SD6. Did you and this provider talk about the reasons you might want to have the surgery or procedure?

1__ Yes
2__ No

 After C-SD5

Note: Use C-SD5-8 together
C-SD7. Did you and this provider talk about the reasons you might not want to have the surgery or procedure?

1__ Yes
2__ No

 After C-SD6

Note: Use C-SD5-8 together
C-SD8. When you and this provider talked about having surgery or a procedure, did this provider ask what you thought was best for you?

1__ Yes
2__ No

 After C-SD7

Note: Use C-SD5-8 together

 

Page last reviewed November 2017
Page originally created October 2017

Internet Citation: Supplemental Items for the CAHPS Clinician & Group Adult Survey 3.0: Shared Decisionmaking. Content last reviewed November 2017. ´óÏóÊÓƵ, Rockville, MD.
/cahps/surveys-guidance/item-sets/cg/suppl-decisionmaking-cg30-adult.html

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