[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-3.
In the last 12 months, how often was it easy to see a specialist that (PERSON) needed to see?

NEVER .................................. 1 [CS22]
SOMETIMES .............................. 2 [CS22]
USUALLY ................................ 3 [CS22]
ALWAYS ................................. 4 [CS22]
REF ................................... -7 [CS22]
DK .................................... -8 [CS22]
[Code One]
----------------------------------------------------
IN PANEL 12, ROUND 4 AND PANEL 13, ROUND 2, THE QUESTION WORDING AND RESPONSE CATEGORIES AT CS21 WERE CHANGED TO BE MORE CONSISTENT WITH CAHPS VERSION 4.0 QUESTION WORDING AND RESPONSE CATEGORIES. THE RESPONSE SCALE CHANGED FROM A PROBLEM SCALE TO A TIME FRAME SCALE.
----------------------------------------------------

16. In the last 12 months, how much of a problem, if any, was it to get a referral to a specialist that you need to see?

A big problem..........................................
A small problem ......................................
Not a problem ....................................
I didn't need to see a specialist in the past 12 months............................

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-3.
In the last 12 months, how often was it easy to see a specialist that (PERSON) needed to see?

NEVER .................................. 1 [CS22]
SOMETIMES .............................. 2 [CS22]
USUALLY ................................ 3 [CS22]
ALWAYS ................................. 4 [CS22]
REF ................................... -7 [CS22]
DK .................................... -8 [CS22]
[Code One]
----------------------------------------------------
IN PANEL 12, ROUND 4 AND PANEL 13, ROUND 2, THE QUESTION WORDING AND RESPONSE CATEGORIES AT CS21 WERE CHANGED TO BE MORE CONSISTENT WITH CAHPS VERSION 4.0 QUESTION WORDING AND RESPONSE CATEGORIES. THE RESPONSE SCALE CHANGED FROM A PROBLEM SCALE TO A TIME FRAME SCALE.
----------------------------------------------------

16. In the last 12 months, how much of a problem, if any, was it to get a referral to a specialist that you need to see?

A big problem..........................................
A small problem ......................................
Not a problem ....................................
I didn't need to see a specialist in the past 12 months............................

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-3.
In the last 12 months, how often was it easy to see a specialist that (PERSON) needed to see?

NEVER .................................. 1 [CS22]
SOMETIMES .............................. 2 [CS22]
USUALLY ................................ 3 [CS22]
ALWAYS ................................. 4 [CS22]
REF ................................... -7 [CS22]
DK .................................... -8 [CS22]
[Code One]
----------------------------------------------------
IN PANEL 12, ROUND 4 AND PANEL 13, ROUND 2, THE QUESTION WORDING AND RESPONSE CATEGORIES AT CS21 WERE CHANGED TO BE MORE CONSISTENT WITH CAHPS VERSION 4.0 QUESTION WORDING AND RESPONSE CATEGORIES. THE RESPONSE SCALE CHANGED FROM A PROBLEM SCALE TO A TIME FRAME SCALE.
----------------------------------------------------

16. In the last 12 months, how much of a problem, if any, was it to get a referral to a specialist that you need to see?

A big problem..........................................
A small problem ......................................
Not a problem ....................................
I didn't need to see a specialist in the past 12 months............................

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-3.
In the last 12 months, how often was it easy to see a specialist that (PERSON) needed to see?

NEVER .................................. 1 [CS22]
SOMETIMES .............................. 2 [CS22]
USUALLY ................................ 3 [CS22]
ALWAYS ................................. 4 [CS22]
REF ................................... -7 [CS22]
DK .................................... -8 [CS22]
[Code One]
----------------------------------------------------
IN PANEL 12, ROUND 4 AND PANEL 13, ROUND 2, THE QUESTION WORDING AND RESPONSE CATEGORIES AT CS21 WERE CHANGED TO BE MORE CONSISTENT WITH CAHPS VERSION 4.0 QUESTION WORDING AND RESPONSE CATEGORIES. THE RESPONSE SCALE CHANGED FROM A PROBLEM SCALE TO A TIME FRAME SCALE.
----------------------------------------------------

1 Never
2 Sometimes
3 Usually
4 Always

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-3.
In the last 12 months, how often was it easy to see a specialist that (PERSON) needed to see?

NEVER .................................. 1 [CS22]
SOMETIMES .............................. 2 [CS22]
USUALLY ................................ 3 [CS22]
ALWAYS ................................. 4 [CS22]
REF ................................... -7 [CS22]
DK .................................... -8 [CS22]
[Code One]
----------------------------------------------------
IN PANEL 12, ROUND 4 AND PANEL 13, ROUND 2, THE QUESTION WORDING AND RESPONSE CATEGORIES AT CS21 WERE CHANGED TO BE MORE CONSISTENT WITH CAHPS VERSION 4.0 QUESTION WORDING AND RESPONSE CATEGORIES. THE RESPONSE SCALE CHANGED FROM A PROBLEM SCALE TO A TIME FRAME SCALE.
----------------------------------------------------

16. In the last 12 months, how much of a problem, if any, was it to get a referral to a specialist that you need to see?

A big problem..........................................
A small problem ......................................
Not a problem ....................................
I didn't need to see a specialist in the past 12 months............................

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-3.
In the last 12 months, how often was it easy to see a specialist that (PERSON) needed to see?

NEVER .................................. 1 [CS22]
SOMETIMES .............................. 2 [CS22]
USUALLY ................................ 3 [CS22]
ALWAYS ................................. 4 [CS22]
REF ................................... -7 [CS22]
DK .................................... -8 [CS22]
[Code One]
----------------------------------------------------
IN PANEL 12, ROUND 4 AND PANEL 13, ROUND 2, THE QUESTION WORDING AND RESPONSE CATEGORIES AT CS21 WERE CHANGED TO BE MORE CONSISTENT WITH CAHPS VERSION 4.0 QUESTION WORDING AND RESPONSE CATEGORIES. THE RESPONSE SCALE CHANGED FROM A PROBLEM SCALE TO A TIME FRAME SCALE.
----------------------------------------------------

16. In the last 12 months, how much of a problem, if any, was it to get a referral to a specialist that you need to see?

A big problem..........................................
A small problem ......................................
Not a problem ....................................
I didn't need to see a specialist in the past 12 months............................

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-3.
In the last 12 months, how often was it easy to see a specialist that (PERSON) needed to see?

NEVER .................................. 1 [CS22]
SOMETIMES .............................. 2 [CS22]
USUALLY ................................ 3 [CS22]
ALWAYS ................................. 4 [CS22]
REF ................................... -7 [CS22]
DK .................................... -8 [CS22]
[Code One]
----------------------------------------------------
IN PANEL 12, ROUND 4 AND PANEL 13, ROUND 2, THE QUESTION WORDING AND RESPONSE CATEGORIES AT CS21 WERE CHANGED TO BE MORE CONSISTENT WITH CAHPS VERSION 4.0 QUESTION WORDING AND RESPONSE CATEGORIES. THE RESPONSE SCALE CHANGED FROM A PROBLEM SCALE TO A TIME FRAME SCALE.
----------------------------------------------------

16. In the last 12 months, how much of a problem, if any, was it to get a referral to a specialist that you need to see?

A big problem..........................................
A small problem ......................................
Not a problem ....................................
I didn't need to see a specialist in the past 12 months............................

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-3.
In the last 12 months, how often was it easy to see a specialist that (PERSON) needed to see?

NEVER .................................. 1 [CS22]
SOMETIMES .............................. 2 [CS22]
USUALLY ................................ 3 [CS22]
ALWAYS ................................. 4 [CS22]
REF ................................... -7 [CS22]
DK .................................... -8 [CS22]
[Code One]
----------------------------------------------------
IN PANEL 12, ROUND 4 AND PANEL 13, ROUND 2, THE QUESTION WORDING AND RESPONSE CATEGORIES AT CS21 WERE CHANGED TO BE MORE CONSISTENT WITH CAHPS VERSION 4.0 QUESTION WORDING AND RESPONSE CATEGORIES. THE RESPONSE SCALE CHANGED FROM A PROBLEM SCALE TO A TIME FRAME SCALE.
----------------------------------------------------

16. In the last 12 months, how much of a problem, if any, was it to get a referral to a specialist that you need to see?

A big problem..........................................
A small problem ......................................
Not a problem ....................................
I didn't need to see a specialist in the past 12 months............................

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-3.
In the last 12 months, how often was it easy to see a specialist that (PERSON) needed to see?

NEVER .................................. 1 [CS22]
SOMETIMES .............................. 2 [CS22]
USUALLY ................................ 3 [CS22]
ALWAYS ................................. 4 [CS22]
REF ................................... -7 [CS22]
DK .................................... -8 [CS22]
[Code One]
----------------------------------------------------
IN PANEL 12, ROUND 4 AND PANEL 13, ROUND 2, THE QUESTION WORDING AND RESPONSE CATEGORIES AT CS21 WERE CHANGED TO BE MORE CONSISTENT WITH CAHPS VERSION 4.0 QUESTION WORDING AND RESPONSE CATEGORIES. THE RESPONSE SCALE CHANGED FROM A PROBLEM SCALE TO A TIME FRAME SCALE.
----------------------------------------------------

16. In the last 12 months, how much of a problem, if any, was it to get a referral to a specialist that you need to see?

A big problem..........................................
A small problem ......................................
Not a problem ....................................
I didn't need to see a specialist in the past 12 months............................

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-3.
In the last 12 months, how often was it easy to see a specialist that (PERSON) needed to see?

NEVER .................................. 1 [CS22]
SOMETIMES .............................. 2 [CS22]
USUALLY ................................ 3 [CS22]
ALWAYS ................................. 4 [CS22]
REF ................................... -7 [CS22]
DK .................................... -8 [CS22]
[Code One]
----------------------------------------------------
IN PANEL 12, ROUND 4 AND PANEL 13, ROUND 2, THE QUESTION WORDING AND RESPONSE CATEGORIES AT CS21 WERE CHANGED TO BE MORE CONSISTENT WITH CAHPS VERSION 4.0 QUESTION WORDING AND RESPONSE CATEGORIES. THE RESPONSE SCALE CHANGED FROM A PROBLEM SCALE TO A TIME FRAME SCALE.
----------------------------------------------------