4. In the last 12 months, when you needed care right away for an illness or injury, how often did you get care as soon as you wanted?

Never
Sometimes
Usually
Always

OMITTED.

4. In the last 12 months, when you needed care right away for an illness or injury, how often did you get care as soon as you wanted?

Never
Sometimes
Usually
Always

OMITTED.

4. In the last 12 months, when you needed care right away for an illness or injury, how often did you get care as soon as you wanted?

Never
Sometimes
Usually
Always

4. In the last 12 months, when you needed care right away for an illness or injury, how often did you get care as soon as you wanted?

Never
Sometimes
Usually
Always

OMITTED.

4. In the last 12 months, when you needed care right away for an illness or injury, how often did you get care as soon as you wanted?

Never
Sometimes
Usually
Always

OMITTED.

4. In the last 12 months, when you needed care right away for an illness or injury, how often did you get care as soon as you wanted?

Never
Sometimes
Usually
Always

OMITTED.

4. In the last 12 months, when you needed care right away for an illness or injury, how often did you get care as soon as you wanted?

Never
Sometimes
Usually
Always

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-3.
In the last 12 months, when (PERSON) needed care right away for an illness or injury, how often did (PERSON) get care as soon as you wanted?

NEVER .................................. 1
SOMETIMES .............................. 2
USUALLY ................................ 3
ALWAYS ................................. 4
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST]
[JOB-ED]
What [is/was] (PERSON)'s daily wage rate?

[Enter $ Per Day] .....................
REF ................................... -7 [EW08]
DK .................................... -8 [EW07]

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-3.
In the last 12 months, when (PERSON) needed care right away for an illness or injury, how often did (PERSON) get care as soon as you wanted?

NEVER .................................. 1
SOMETIMES .............................. 2
USUALLY ................................ 3
ALWAYS ................................. 4
REF ................................... -7
DK .................................... -8
[Code One]

4. In the last 12 months, when you needed care right away for an illness or injury, how often did you get care as soon as you wanted?

Never
Sometimes
Usually
Always

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-3.
In the last 12 months, when (PERSON) needed care right away, how often did (PERSON) get care as soon as you thought (he/she) needed?

NEVER .................................. 1 [CS11A]
SOMETIMES .............................. 2 [CS11A]
USUALLY ................................ 3 [CS11A]
ALWAYS ................................. 4 [CS11A]
REF ................................... -7 [CS11A]
DK .................................... -8 [CS11A]
[Code One]
----------------------------------------------------
IN PANEL 12, ROUND 4 AND PANEL 13, ROUND 2, THE QUESTION WORDING AT CS10A WAS UPDATED TO BE MORE CONSISTENT WITH CAHPS VERSION 4.0 QUESTION WORDING.
----------------------------------------------------

4. In the last 12 months, when you needed care right away for an illness or injury, how often did you get care as soon as you wanted?

Never
Sometimes
Usually
Always

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-3.
In the last 12 months, when (PERSON) needed care right away, how often did (PERSON) get care as soon as you thought (he/she) needed?

NEVER .................................. 1 [CS11A]
SOMETIMES .............................. 2 [CS11A]
USUALLY ................................ 3 [CS11A]
ALWAYS ................................. 4 [CS11A]
REF ................................... -7 [CS11A]
DK .................................... -8 [CS11A]
[Code One]
----------------------------------------------------
IN PANEL 12, ROUND 4 AND PANEL 13, ROUND 2, THE QUESTION WORDING AT CS10A WAS UPDATED TO BE MORE CONSISTENT WITH CAHPS VERSION 4.0 QUESTION WORDING.
----------------------------------------------------

4. In the last 12 months, when you needed care right away for an illness or injury, how often did you get care as soon as you wanted?

Never
Sometimes
Usually
Always

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-3.
In the last 12 months, when (PERSON) needed care right away for an illness or injury, how often did (PERSON) get care as soon as you wanted?

NEVER .................................. 1
SOMETIMES .............................. 2
USUALLY ................................ 3
ALWAYS ................................. 4
REF ................................... -7
DK .................................... -8
[Code One]

4. In the last 12 months, when you needed care right away for an illness or injury, how often did you get care as soon as you wanted?

Never
Sometimes
Usually
Always

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-3.
In the last 12 months, when (PERSON) needed care right away for an illness or injury, how often did (PERSON) get care as soon as you wanted?

NEVER .................................. 1
SOMETIMES .............................. 2
USUALLY ................................ 3
ALWAYS ................................. 4
REF ................................... -7
DK .................................... -8
[Code One]

4. In the last 12 months, when you needed care right away for an illness or injury, how often did you get care as soon as you wanted?

Never
Sometimes
Usually
Always

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-3.
In the last 12 months, when (PERSON) needed care right away for an illness or injury, how often did (PERSON) get care as soon as you wanted?

NEVER .................................. 1
SOMETIMES .............................. 2
USUALLY ................................ 3
ALWAYS ................................. 4
REF ................................... -7
DK .................................... -8
[Code One]

4. In the last 12 months, when you needed care right away for an illness or injury, how often did you get care as soon as you wanted?

Never
Sometimes
Usually
Always

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-3.
In the last 12 months, when (PERSON) needed care right away for an illness or injury, how often did (PERSON) get care as soon as you wanted?

NEVER .................................. 1
SOMETIMES .............................. 2
USUALLY ................................ 3
ALWAYS ................................. 4
REF ................................... -7
DK .................................... -8
[Code One]

4. In the last 12 months, when you needed care right away for an illness or injury, how often did you get care as soon as you wanted?

Never
Sometimes
Usually
Always

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-3.
In the last 12 months, when (PERSON) needed care right away for an illness or injury, how often did (PERSON) get care as soon as you wanted?

NEVER .................................. 1
SOMETIMES .............................. 2
USUALLY ................................ 3
ALWAYS ................................. 4
REF ................................... -7
DK .................................... -8
[Code One]

4. In the last 12 months, when you needed care right away for an illness or injury, how often did you get care as soon as you wanted?

Never
Sometimes
Usually
Always

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-3.
In the last 12 months, when (PERSON) needed care right away for an illness or injury, how often did (PERSON) get care as soon as you wanted?

NEVER .................................. 1
SOMETIMES .............................. 2
USUALLY ................................ 3
ALWAYS ................................. 4
REF ................................... -7
DK .................................... -8
[Code One]

4. In the last 12 months, when you needed care right away for an illness or injury, how often did you get care as soon as you wanted?

Never
Sometimes
Usually
Always

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-3.
In the last 12 months, when (PERSON) needed care right away for an illness or injury, how often did (PERSON) get care as soon as you wanted?

NEVER .................................. 1
SOMETIMES .............................. 2
USUALLY ................................ 3
ALWAYS ................................. 4
REF ................................... -7
DK .................................... -8
[Code One]

4. In the last 12 months, when you needed care right away for an illness or injury, how often did you get care as soon as you wanted?

Never ......................................................
Sometimes ..............................................
Usually ....................................................
Always..............................................
I didn't need care right away for an illness or injury in the last 12 months.....

In the last 12 months, when your child needed care
right away for an illness or injury, how often did
your child get care as soon as you wanted?

Never ..................................................
Sometimes..........................................
Usually................................................
Always ................................................
My child didn't need care right away for an illness or injury in the last
12 months.........................................