邢唷��>� �������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������欹�] ��,�bjbj簞簞 $�仡!b仡!b�9����������!!!!!T����p!p!p!�"|�#�p!,^R($< d1z1z1z1�3�4�b5Hs\u\u\u\u\u\u\$~`�4cX橽M!�6�3�3@�6�6橽!!z1z1鎉�>�>�>�6^!z1!z1s\�>�6s\�>�>tV�z1����P剚J溣�����6�OY,_\黓0,^{Y(宔r9宔X宔!��5"�5�>�5�5��5�5�5橽橽t;�5�5�5,^�6�6�6�6��������������������������������������������������������������������宔�5�5�5�5�5�5�5�5�5�B �:  CAHPS� Nursing Home Survey Version: Discharged Resident Instrument Language: English For assistance with this survey, please contact the CAHPS Help Line at 800-492-9261 or  HYPERLINK "mailto:cahps1@westat.com" cahps1@westat.com.  File name:  FILENAME \* MERGEFORMAT discharged-resident-653a.doc Released: April 18, 2011 Instructions for Front Cover Replace the cover of this document with your own front cover. Include a user-friendly title, your own logo, and the name of the nursing home. Include this text regarding the confidentiality of survey responses: Your Privacy is Protected. All information that would let someone identify you or your family will be kept private. {VENDOR NAME} will not share your personal information with anyone without your OK. Your responses to this survey are also completely confidential. You may notice a number on the cover of the survey. This number is used only to let us know if you returned your survey so we don抰 have to send you reminders. Your Participation is Voluntary. You may choose to answer this survey or not. If you choose not to, this will not affect the health care you get. What To Do When You抮e Done. Once you complete the survey, place it in the envelope that was provided, seal the envelope, and return the envelope to [INSERT VENDOR ADDRESS]. If you want to know more about this study, please call XXX-XXX-XXXX. Instructions for Format of Questionnaire Proper formatting of a questionnaire improves response rates, the ease of completion, and the accuracy of responses. The CAHPS team抯 recommendations include the following: If feasible, insert blank pages as needed so that the survey instructions (see next page) and the first page of questions start on the right-hand side of the questionnaire booklet. Maximize readability by using two columns, serif fonts for the questions, and ample white space. Number the pages of your document, but remove the headers and footers inserted to help sponsors and vendors distinguish among questionnaire versions. Survey Instructions Answer each question by marking the box to the left of your answer. You are sometimes told to skip over some questions in this survey. When this happens you will see an arrow with a note that tells you what question to answer next, like this:  FORMCHECKBOX  Yes ( If Yes, go to #1 on page 1  FORMCHECKBOX  No Please answer the questions in this survey about your stay in the nursing home named on the cover. Do not include any other nursing home stays in your answers. 1. For the following questions, use any number from 0 to 10, where 0 is the worst possible and 10 is the best possible. What number would you use to rate the food at the nursing home?  FORMCHECKBOX  0 Worst possible  FORMCHECKBOX  1  FORMCHECKBOX  2  FORMCHECKBOX  3  FORMCHECKBOX  4  FORMCHECKBOX  5  FORMCHECKBOX  6  FORMCHECKBOX  7  FORMCHECKBOX  8  FORMCHECKBOX  9  FORMCHECKBOX  10 Best possible 2. Did you ever eat in the dining room? 1 FORMCHECKBOX  Yes 2 FORMCHECKBOX  No ( If No, go to #4 3. When you ate in the dining room in the nursing home, what number would you use to rate how much you enjoyed mealtimes?  FORMCHECKBOX  0 Worst possible  FORMCHECKBOX  1  FORMCHECKBOX  2  FORMCHECKBOX  3  FORMCHECKBOX  4  FORMCHECKBOX  5  FORMCHECKBOX  6  FORMCHECKBOX  7  FORMCHECKBOX  8  FORMCHECKBOX  9  FORMCHECKBOX  10 Best possible 4. What number would you use to rate how comfortable the temperature was in the nursing home?  FORMCHECKBOX  0 Worst possible  FORMCHECKBOX  1  FORMCHECKBOX  2  FORMCHECKBOX  3  FORMCHECKBOX  4  FORMCHECKBOX  5  FORMCHECKBOX  6  FORMCHECKBOX  7  FORMCHECKBOX  8  FORMCHECKBOX  9  FORMCHECKBOX  10 Best possible 5. Think about all the different areas of the nursing home. What number would you use to rate how clean the nursing home was?  FORMCHECKBOX  0 Worst possible  FORMCHECKBOX  1  FORMCHECKBOX  2  FORMCHECKBOX  3  FORMCHECKBOX  4  FORMCHECKBOX  5  FORMCHECKBOX  6  FORMCHECKBOX  7  FORMCHECKBOX  8  FORMCHECKBOX  9  FORMCHECKBOX  10 Best possible 6. What number would you use to describe how safe and secure you felt in the nursing home?  FORMCHECKBOX  0 Worst possible  FORMCHECKBOX  1  FORMCHECKBOX  2  FORMCHECKBOX  3  FORMCHECKBOX  4  FORMCHECKBOX  5  FORMCHECKBOX  6  FORMCHECKBOX  7  FORMCHECKBOX  8  FORMCHECKBOX  9  FORMCHECKBOX  10 Best possible 7. Think about all the different kinds of medicine that help with aches or pain. This includes medicine prescribed by a doctor, as well as aspirin and Tylenol. When you were in the nursing home, did you ever take any medicine to help with aches or pain? 1 FORMCHECKBOX  Yes 2 FORMCHECKBOX  No ( If No, go to #10 8. Thinking about when you were in the nursing home, what number would you use to rate how well the medicine to help with aches or pain worked?  FORMCHECKBOX  0 Worst possible  FORMCHECKBOX  1  FORMCHECKBOX  2  FORMCHECKBOX  3  FORMCHECKBOX  4  FORMCHECKBOX  5  FORMCHECKBOX  6  FORMCHECKBOX  7  FORMCHECKBOX  8  FORMCHECKBOX  9  FORMCHECKBOX  10 Best possible 9. What number would you use to rate how well the nursing home staff helped you when you had pain?  FORMCHECKBOX  0 Worst possible  FORMCHECKBOX  1  FORMCHECKBOX  2  FORMCHECKBOX  3  FORMCHECKBOX  4  FORMCHECKBOX  5  FORMCHECKBOX  6  FORMCHECKBOX  7  FORMCHECKBOX  8  FORMCHECKBOX  9  FORMCHECKBOX  10 Best possible 10. What number would you use to rate how quickly the nursing home staff came when you called for help?  FORMCHECKBOX  0 Worst possible  FORMCHECKBOX  1  FORMCHECKBOX  2  FORMCHECKBOX  3  FORMCHECKBOX  4  FORMCHECKBOX  5  FORMCHECKBOX  6  FORMCHECKBOX  7  FORMCHECKBOX  8  FORMCHECKBOX  9  FORMCHECKBOX  10 Best possible 11. When you were in the nursing home, did the staff help you get dressed, take a shower, or go to the toilet? 1 FORMCHECKBOX  Yes 2 FORMCHECKBOX  No ( If No, go to #13 12. What number would you use to rate how gentle the nursing home staff were when they helped you?  FORMCHECKBOX  0 Worst possible  FORMCHECKBOX  1  FORMCHECKBOX  2  FORMCHECKBOX  3  FORMCHECKBOX  4  FORMCHECKBOX  5  FORMCHECKBOX  6  FORMCHECKBOX  7  FORMCHECKBOX  8  FORMCHECKBOX  9  FORMCHECKBOX  10 Best possible 13. What number would you use to rate how respectful the nursing home staff were to you?  FORMCHECKBOX  0 Worst possible  FORMCHECKBOX  1  FORMCHECKBOX  2  FORMCHECKBOX  3  FORMCHECKBOX  4  FORMCHECKBOX  5  FORMCHECKBOX  6  FORMCHECKBOX  7  FORMCHECKBOX  8  FORMCHECKBOX  9  FORMCHECKBOX  10 Best possible 14. What number would you use to rate how well the nursing home staff listened to you?  FORMCHECKBOX  0 Worst possible  FORMCHECKBOX  1  FORMCHECKBOX  2  FORMCHECKBOX  3  FORMCHECKBOX  4  FORMCHECKBOX  5  FORMCHECKBOX  6  FORMCHECKBOX  7  FORMCHECKBOX  8  FORMCHECKBOX  9  FORMCHECKBOX  10 Best possible 15. What number would you use to rate how well the nursing home staff explained things in a way that was easy to understand?  FORMCHECKBOX  0 Worst possible  FORMCHECKBOX  1  FORMCHECKBOX  2  FORMCHECKBOX  3  FORMCHECKBOX  4  FORMCHECKBOX  5  FORMCHECKBOX  6  FORMCHECKBOX  7  FORMCHECKBOX  8  FORMCHECKBOX  9  FORMCHECKBOX  10 Best possible 16. Overall, what number would you use to rate the care you got from the nursing home staff?  FORMCHECKBOX  0 Worst possible  FORMCHECKBOX  1  FORMCHECKBOX  2  FORMCHECKBOX  3  FORMCHECKBOX  4  FORMCHECKBOX  5  FORMCHECKBOX  6  FORMCHECKBOX  7  FORMCHECKBOX  8  FORMCHECKBOX  9  FORMCHECKBOX  10 Best possible 17. When you were in the nursing home, did you have any special therapy, such as physical, occupational, or speech therapy? 1 FORMCHECKBOX  Yes 2 FORMCHECKBOX  No ( If No, go to #19 18. Thinking about when you were in the nursing home, what number would you use to rate the special therapy you got?  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When you were in the nursing home, was the area around your room quiet at night? 1 FORMCHECKBOX  Yes 2 FORMCHECKBOX  No 3 FORMCHECKBOX  Sometimes 21. When you were in the nursing home, were you bothered by noise in the nursing home during the day? 1 FORMCHECKBOX  Yes 2 FORMCHECKBOX  No 3 FORMCHECKBOX  Sometimes 22. When you were in the nursing home, did you have any visitors? 1 FORMCHECKBOX  Yes 2 FORMCHECKBOX  No ( If No, go to #24 23. When you had visitors in the nursing home, could you find a place to visit in private? 1 FORMCHECKBOX  Yes 2 FORMCHECKBOX  No 3 FORMCHECKBOX  Sometimes 24. When you were in the nursing home, did you visit a doctor for medical care outside the nursing home? 1 FORMCHECKBOX  Yes 2 FORMCHECKBOX  No 3 FORMCHECKBOX  Sometimes 25. When you were in the nursing home, did you visit a doctor for medical care inside the nursing home? 1 FORMCHECKBOX  Yes 2 FORMCHECKBOX  No 3 FORMCHECKBOX  Sometimes 26. When you were in the nursing home, could you turn yourself over in bed without help from another person? 1 FORMCHECKBOX  Yes ( If Yes, go to #29 2 FORMCHECKBOX  No 27. When you were in the nursing home, were you ever left sitting or laying in the same position so long that it hurt? 1 FORMCHECKBOX  Yes 2 FORMCHECKBOX  No 3 FORMCHECKBOX  Sometimes 28. When you were in the nursing home, were you able to move your arms to reach things that you wanted? 1 FORMCHECKBOX  Yes 2 FORMCHECKBOX  No ( If No, go to #31 3 FORMCHECKBOX  Sometimes 29. We would like to find out about whether you could reach the things you needed in your room. When you were in the nursing home, could you reach the call button by yourself? 1 FORMCHECKBOX  Yes 2 FORMCHECKBOX  No 3 FORMCHECKBOX  Sometimes 30. When you were in the nursing home, was there a pitcher of water or something to drink where you could reach it by yourself? 1 FORMCHECKBOX  Yes 2 FORMCHECKBOX  No 3 FORMCHECKBOX  Sometimes 31. When you were in the nursing home, did the staff help you dress, take a shower, or bathe? 1 FORMCHECKBOX  Yes 2 FORMCHECKBOX  No ( If No, go to #33 32. When you were in the nursing home, did the staff make sure you had enough personal privacy when you dressed, took a shower, or bathed? 1 FORMCHECKBOX  Yes 2 FORMCHECKBOX  No 3 FORMCHECKBOX  Sometimes 33. When you were in the nursing home, could you choose what time you went to bed? 1 FORMCHECKBOX  Yes 2 FORMCHECKBOX  No 3 FORMCHECKBOX  Sometimes 34. When you were in the nursing home, could you choose what clothes you wore? 1 FORMCHECKBOX  Yes 2 FORMCHECKBOX  No 3 FORMCHECKBOX  Sometimes 35. When you were in the nursing home, could you choose what activities you did there? 1 FORMCHECKBOX  Yes 2 FORMCHECKBOX  No 3 FORMCHECKBOX  Sometimes 36. When you were in the nursing home, were there enough organized activities for you to do on the weekends? 1 FORMCHECKBOX  Yes 2 FORMCHECKBOX  No 3 FORMCHECKBOX  Sometimes 37. When you were in the nursing home, were there enough organized activities for you to do during the week? 1 FORMCHECKBOX  Yes 2 FORMCHECKBOX  No 3 FORMCHECKBOX  Sometimes 38. Would you recommend the nursing home to others? 1 FORMCHECKBOX  Definitely no 2 FORMCHECKBOX  Probably no 3 FORMCHECKBOX  Probably yes 4 FORMCHECKBOX  Definitely yes 39. When you were in the nursing home, how often did you feel worried? 1 FORMCHECKBOX  Often 2 FORMCHECKBOX  Sometimes 3 FORMCHECKBOX  Rarely 4 FORMCHECKBOX  Never 40. When you were in the nursing home, how often did you feel happy? 1 FORMCHECKBOX  Often 2 FORMCHECKBOX  Sometimes 3 FORMCHECKBOX  Rarely 4 FORMCHECKBOX  Never 41. When you were in the nursing home, did you have a roommate? 1 FORMCHECKBOX  Yes 2 FORMCHECKBOX  No 42. Think about how you felt about your life when you were in the nursing home. Use any number from 0 to 10, where 0 is the worst possible and 10 is the best possible. What number would you use to rate your life then?  FORMCHECKBOX  0 Worst possible  FORMCHECKBOX  1  FORMCHECKBOX  2  FORMCHECKBOX  3  FORMCHECKBOX  4  FORMCHECKBOX  5  FORMCHECKBOX  6  FORMCHECKBOX  7  FORMCHECKBOX  8  FORMCHECKBOX  9  FORMCHECKBOX  10 Best possible 43. In general, how would you rate your overall health? 1 FORMCHECKBOX  Excellent 2 FORMCHECKBOX  Very good 3 FORMCHECKBOX  Good 4 FORMCHECKBOX  Fair 5 FORMCHECKBOX  Poor 44. Are you male or female? 1 FORMCHECKBOX  Male 2 FORMCHECKBOX  Female 45. In what year were you born? Write in: �year 46. What is the highest grade or level of school that you have completed? 1 FORMCHECKBOX  8th grade or less 2 FORMCHECKBOX  Some high school, but did not graduate 3 FORMCHECKBOX  High school graduate or GED 4 FORMCHECKBOX  Some college or 2-year degree 5 FORMCHECKBOX  4-year college graduate 6 FORMCHECKBOX  More than 4-year college degree 47. Are you of Hispanic or Latino origin or descent? 1 FORMCHECKBOX  Yes, Hispanic or Latino 2 FORMCHECKBOX  No, not Hispanic or Latino 48. What is your race? Please mark one or more. 1 FORMCHECKBOX  White 2 FORMCHECKBOX  Black or African American 3 FORMCHECKBOX  Asian 4 FORMCHECKBOX  Native Hawaiian or Other Pacific Islander 5 FORMCHECKBOX  American Indian or Alaska Native 6 FORMCHECKBOX  Other 49. Did someone help you complete this survey? 1 FORMCHECKBOX  Yes ( If Yes, go to #50 2 FORMCHECKBOX  No ( If No, please return the completed survey in the postage-paid envelope. 50. How did that person help you? Mark one or more. 1 FORMCHECKBOX  Read the questions to me 2 FORMCHECKBOX  Wrote down the answers I gave 3 FORMCHECKBOX  Answered the questions for me 4 FORMCHECKBOX  Translated the questions into my language 5 FORMCHECKBOX  Helped in some other way Thank you. Please return the completed survey in the postage-paid envelope.     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