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P-IN1. An interpreter is someone who helps you talk with others who do not speak your language. In the last 12 months, did you need an interpreter at your personal doctor's office?

¹__Yes
²__No → If No, go to core question 17

After core question 16

P-IN2. In the last 12 months, during visits to your personal doctor’s office, how often did you get an interpreter when you needed one?

¹__Never â†’ If Never, go to P-IN5
²__Sometimes
³__Usually
⁴__Always

After P-IN1

Note: Use with P-IN1

P-IN3. In the last 12 months, how often did this interpreter treat you with courtesy and respect?

¹__Never
²__Sometimes
³__Usually
⁴__Always

After P-IN2

Note: Use with P-IN1 and P-IN2

P-IN4. Using any number from 0 to 10, where 0 is the worst interpreter possible and 10 is the best interpreter possible, what number would you use to rate this interpreter?

__ 0  Worst interpreter possible
__ 1
__ 2
__ 3
__ 4
__ 5
__ 6
__ 7
__ 8
__ 9
__ 10  Best interpreter possible

After P-IN3

Note: Use with P-IN1 and P-IN2

P-IN5. In the last 12 months, how often did you use a friend or family member as an interpreter when you talked with someone from your personal doctor's office?

¹__Never → If Never, go to core question 17
²__Sometimes
³__Usually
⁴__Always

After P-IN4

Note: Use with P-IN1

P-IN6. In the last 12 months, did you use a child younger than 18 to help you talk with someone from your personal doctor's office?

¹__Yes
²__No

After P-IN5

Note: Use with P-IN1 and P-IN5

P-IN7. An interpreter is someone who helps you talk with others who do not speak your language. In the last 12 months, did you need an interpreter to talk with someone from your health plan?

¹__Yes
²__No â†’ If No, go to core question 27

P-IN8. In the last 12 months, how often did you get an interpreter to talk with someone from your health plan when you needed one?

¹__Never → If Never, go to P-IN11
²__Sometime
³__Usually
⁴__Always

After P-IN7

Note: Use with P-IN7

P-IN9. In the last 12 months, how often did this interpreter treat you with courtesy and respect?

¹__Never
²__Sometimes
³__Usually
⁴__Always

After P-IN8

Note: Use with P-IN7 and P-IN8

P-IN10. Using any number from 0 to 10, where 0 is the worst interpreter possible and 10 is the best interpreter possible, what number would you use to rate this interpreter?

__ 0  Worst interpreter possible
__ 1
__ 2
__ 3
__ 4
__ 5
__ 6
__ 7
__ 8
__ 9
__ 10  Best interpreter possible

After P-IN9

Note: Use with P-IN7 and P-IN8

P-IN11. In the last 12 months, how often did you use a friend or family member as an interpreter when you talked with someone from your health plan?

¹__Never → If Never, go to core question 27
²__Sometimes
³__Usually
⁴__Always

After P-IN10

Note: Use with P-IN7

P-IN12. In the last 12 months, did you use a child younger than 18 to help you talk with someone from your health plan?

¹__Yes
²__No

After P-IN11

Note: Use with P-IN7 and P-IN11

P-IN13. What language would you like to talk to your personal doctor in?

¹__English
²__Spanish
³__[INSERT LANGUAGE]
⁴__[INSERT LANGUAGE]
⁵__Another language

After core question 37