• We want to know your rating of the specialist your child saw most often in the last 6 months. Using any number from 0 to 10, where 0 is the worst specialist possible and 10 is the best specialist possible, what number would you use to rate that specialist?
• In the last 6 months, did you try to get any kind of care, tests, or treatment for your child through his or her health plan?
• In the last 6 months, how often was it easy to get the care, tests, or treatment you thought your child needed through his or her health plan?
• In the last 6 months, did you try to get information or help from customer service at your child’s health plan?
• In the last 6 months, how often did customer service at your child’s health plan give you the information or help you needed?
• In the last 6 months, how often did customer service staff at your child’s health plan treat you with courtesy and respect?
• In the last 6 months, did your child’s health plan give you any forms to fill out?
• In the last 6 months, how often were the forms from your child’s health plan easy to fill out?
• Using any number from 0 to 10, where 0 is the worst health plan possible and 10 is the best health plan possible, what number would you use to rate your child’s health plan?
• In the last 6 months, did you get or refill any prescription medicines for your child?
• In the last 6 months, how often was it easy to get prescription medicines for your child through his or her health plan?
• Did anyone from your child’s health plan, doctor’s office, or clinic help you get your child’s prescription medicines?
• Does your child currently need or use medicine prescribed by a doctor (other than vitamins)?
• Is this because of any medical, behavioral, or other health condition?
• Is this a condition that has lasted or is expected to last for at least 12 months?
• Does your child need or use more medical care, more mental health services, or more educational services than is usual for most children of the same age?
• Is this because of any medical, behavioral, or other health condition?
• Is this a condition that has lasted or is expected to last for at least 12 months?
• Is your child limited or prevented in any way in his or her ability to do the things most children of the same age can do?
• Is this because of any medical, behavioral, or other health condition?