Crosswalk - PDP Only

Current PDP Survey Item Number and Text

Proposed PDP Survey Item
Number and Text/English

Proposed PDP Survey Item
Number and Text/Spanish

Comments

Item count=65

Item Count=54

1. Our records show that you used to belong to
[PLAN NAME], but no longer belong to that plan.
Is that right?
Yes → If Yes, go to Question 2
I left or was dropped by a plan but it was not
[PLAN NAME] → Go to Question 2
No, I did not belong to [PLAN NAME]
No, I still belong to [PLAN NAME]
If you answered No to Question 1, please stop
and return the survey. You DO NOT have to
complete the survey.

1. Our records show that you used
to belong to [MARKETING]
(Contract Number [PREV_PLAN])
but no longer belong to that plan.
Is that right?
RESPONSES: Yes, I changed or
switched prescription drug plans; I
changed or switched prescription
drug plans but my former plan was
not [PLAN NAME]; No, I did not
change, switch or drop prescription
drug plans recently

1. Our records show that you used Revised response
to belong to [MARKETING]
options.
(Contract Number [PREV_PLAN])
but no longer belong to that plan.
Is that right?
RESPONSES: Yes, I changed or
switched prescription drug plans; I
changed or switched prescription
drug plans but my former plan was
not [PLAN NAME]; No, I did not
change, switch or drop prescription
drug plans recently

2. Did you have to leave or switch [PLAN NAME]
for any of the following reasons?
I moved outside of the area where the plan was
available
I was dropped by the plan
The plan was cancelled or discontinued in my
area
The plan was changed by the organization that
provides my insurance (such as an employer or a
union)
PLEASE READ: If you checked any of the reasons
above, please stop and return the survey. You DO
NOT have to complete the survey.
None of the above → If you did not choose any
of the reasons in Question 2 please continue to
Question 3

2. Did you have to change, switch
or drop your prescription drug plan
for any of the following reasons?
o I moved outside of the area
where the plan was available
I was dropped by the plan
The plan was cancelled or
discontinued in my area
The plan was changed or
discontinued by the organization
that provides my insurance (such
as a former employer or a union)
None of the above → Continue
survey, go to Question 3

2. Did you have to change, switch
or drop your prescription drug plan
for any of the following reasons?
o I moved outside of the area
where the plan was available
I was dropped by the plan
The plan was cancelled or
discontinued in my area
The plan was changed or
discontinued by the organization
that provides my insurance (such
as a former employer or a union)
None of the above → Continue
survey, go to Question 3

Revised intro and
added response
option to make
item easier to
navigate and to
screen out those
who did not
disenroll
voluntarily.

(Preamble) These questions ask about your
(Q3 Preamble) As you answer the
experience with your former prescription plan. As questions in this survey, please
you answer the rest of the questions in this
think only of your former health
survey, please think only of your former plan.
plan.

(Q3 Preamble) As you answer the
questions in this survey, please
think only of your former health
plan.

Revised
preamble.

3. Customer service is information you get from
staff about what is covered and how to use the
plan. Did you ever try to get information or help
from [PLAN NAME]’s customer service?
Yes
No → If No, go to #5

3. Did you ever try to get
information or help from your
former plan’s customer service?
Yes/No

3. Did you ever try to get
information or help from your
former plan’s customer service?
Yes/No

Deleted first
sentence to
make item easier
to understand.

4. How often did the plan’s customer service give
you the information or help you needed?
Never
Sometimes
Usually
Always
I did not try to get information or help from the
plan’s customer service

4. How often did your former
plan’s customer service give you
the information or help you
needed?
Never/Sometimes/Usually/Always/
I did not try to get information or
help from my former health plan's
customer service

4. How often did your former
plan’s customer service give you
the information or help you
needed?
Never/Sometimes/Usually/Always/
I did not try to get information or
help from my former health plan's
customer service

Changed "the
plan's customer
service" to "your
former plan's
customer
service."

5. Did you ever try to get information from the
plan about which prescription medicines were
covered?
Yes
No → If No, go to #7
6. How often did the plan give you all the
information you needed about which prescription
medicines were covered?
Never
Sometimes
Usually
Always
I did not try to get information about which
prescription medicines were covered

5. Did you ever try to get
information from your former plan
about which prescription
medicines were covered? Yes/No

5. Did you ever try to get
information from your former plan
about which prescription
medicines were covered? Yes/No

Changed "the
plan" to "your
former plan."

6. How often did your former plan
give you all the information you
needed about which prescription
medicines were covered?
Never/Sometimes/Usually/Always/
I did not try to get information
from my former plan about which
prescription medicines were
covered

6. How often did your former plan
give you all the information you
needed about which prescription
medicines were covered?
Never/Sometimes/Usually/Always/
I did not try to get information
from my former plan about which
prescription medicines were
covered

Changed "the
plan" to "your
former plan."

7. Did you ever try to get information from the
plan about how much you would have to pay for a
prescription medicine?
Yes
No → If No, go to #9

7. Did you ever try to get
information from your former plan
about how much you would have
to pay for a prescription medicine?
Yes/No

7. Did you ever try to get
information from your former plan
about how much you would have
to pay for a prescription medicine?
Yes/No

Changed "the
plan" to "your
former plan."

8. How often did the plan give you all the
information you needed about how much you
would have to pay for a prescription medicine?
Never
Sometimes
Usually
Always
I did not try to get information about how
much I would have to pay for a prescription
medicine

8. How often did your former plan
give you information about how
much you would have to pay for a
prescription medicine?
RESPONSES:
Never/Sometimes/Usually/Always/
I did not try to get information
from my former plan about how
much I would have to pay for a
prescription medicine

8. How often did your former plan
give you information about how
much you would have to pay for a
prescription medicine?
RESPONSES:
Never/Sometimes/Usually/Always/
I did not try to get information
from my former plan about how
much I would have to pay for a
prescription medicine

Changed "the
plan" to "your
former plan."

9. Did you ever need written information from the N/A
plan in a language other than English?
Yes
No → If No, go to #11
10. How often did the plan give you written
information in a language other than English?
Never
Sometimes
Usually
Always
I did not need written information in a
language other than English

N/A

11. Did a doctor ever prescribe a medicine for you
that the plan did not cover?
Yes
No

9. Did a doctor ever prescribe a
medicine for you that your former
plan did not cover? Yes/No

9. Did you ever need written
information from the plan in
Spanish?
Yes
No → If No, go to #11

Simplified
question, now
for Spanish
version only.
Removed from
English version.
10. How often did the plan give you Simplified
written information in Spanish?
question, now
Never
for Spanish
Sometimes
version only.
Usually
Removed from
Always
English version.
I did not need written
information in a language other
than English
11. Did a doctor ever prescribe a
medicine for you that your former
plan did not cover? Yes/No

Changed "the
plan" to "your
former plan."

12. How often was it easy to use the plan to get
the medicines your doctor prescribed?
Never
Sometimes
Usually
Always
I did not use the plan to get any prescription
medicines

10. How often was it easy to use
your former plan to get the
medicines your doctor prescribed?
Never/Sometimes/Usually/Always/
I did not use my former plan to get
any prescription medicines

12. How often was it easy to use
your former plan to get the
medicines your doctor prescribed?
Never/Sometimes/Usually/Always/
I did not use my former plan to get
any prescription medicines

Changed "the
plan" to "your
former plan."

13. Did you ever use the plan to fill a prescription
at a local pharmacy?
Yes
No → If No, go to #17

11. Did you ever use your former
plan to fill a prescription at a
pharmacy? Yes/No

13. Did you ever use your former
plan to fill a prescription at a
pharmacy? Yes/No

Changed "the
plan" to "your
former plan."

14. How often was it easy to use the plan to fill a
prescription at a local pharmacy?
Never
Sometimes
Usually
Always
I did not use the plan to fill a prescription at a
local pharmacy

12. How often was it easy to use
your former plan to fill a
prescription at a pharmacy?
RESPONSES:
Never/Sometimes/Usually/Always/
I did not have to use my former
plan to fill a prescription at a
pharmacy

14. How often was it easy to use
your former plan to fill a
prescription at a pharmacy?
RESPONSES:
Never/Sometimes/Usually/Always/
I did not have to use my former
plan to fill a prescription at a
pharmacy

Changed "the
plan" to "your
former plan" and
removed
reference to
"local."

15. Did you ever use the plan to fill any
prescriptions by mail?
Yes
No → If No, go to #19

13. Did you ever use your former
plan to fill any prescriptions by
mail? Yes/No

15. Did you ever use your former
plan to fill any prescriptions by
mail? Yes/No

Changed "the
plan" to "your
former plan."

16. How often was it easy to use the plan to fill
prescriptions by mail?
Never
Sometimes
Usually
Always
I did not use the plan to fill a prescription by
mail

14. How often was it easy to use
your former plan to fill
prescriptions by mail?
Never/Sometimes/Usually/Always/
I did not use my former plan to fill
a prescription by mail

16. How often was it easy to use
your former plan to fill
prescriptions by mail?
Never/Sometimes/Usually/Always/
I did not use my former plan to fill
a prescription by mail

Changed "the
plan" to "your
former plan."

17. Using any number from 0 to 10, where 0 is the
worst prescription drug plan possible and 10 is
the best prescription drug plan possible, what
number would you use to rate the plan?
0 Worst prescription drug plan possible
1
2
3
4
5
6
7
8
9
10 Best prescription drug plan possible

15. Using any number from 0 to 10,
where 0 is the worst prescription
drug plan possible and 10 is the
best prescription drug plan
possible, what number would you
use to rate your former plan?

17. Using any number from 0 to 10, Changed "the
where 0 is the worst prescription
plan" to "your
former plan."
drug plan possible and 10 is the
best prescription drug plan
possible, what number would you
use to rate your former plan?

(Preamble) People leave, drop, or switch
prescription drug plans for different reasons.
These questions are about reasons you may have
had for switching, leaving, or dropping [PLAN
NAME].

(Q16 Preamble)The next questions
are about reasons you may have
had for changing, switching or
dropping your former prescription
drug plan.

(Q18 Preamble)The next questions
are about reasons you may have
had for changing, switching or
dropping your former prescription
drug plan.

18. Did you leave the plan because you found out
that someone had signed you up for the plan
without your permission?
Yes
No

16. Did you leave your former plan
because you found out that
someone had signed you up for the
plan without your permission?
Yes/No

18. Did you leave your former plan Changed "the
because you found out that
plan" to "your
someone had signed you up for the former plan."
plan without your permission?
Yes/No

19. Did you leave the plan because you were
accidentally taken off the plan (or because of
some other paperwork or clerical error)?
Yes
No

17. Did you leave your former plan
because you were taken off the
plan by mistake? Yes/No

19. Did you leave your former plan
because you were taken off the
plan by mistake? Yes/No

Deleted the first
sentence; revised
second sentence.

Simplified
question and
changed "the
plan" to "your
former plan."

20. Some Medicare beneficiaries have to pay their
prescription drug plan a monthly fee out of their
own pocket for coverage for prescription
medicines.
Did you leave the plan because the monthly fee
that the plan charges to provide coverage for
prescription medicines went up?
Yes
No

18. Some people have to pay their
prescription drug plan a monthly
fee (called a premium) out of their
own pocket for prescription drug
coverage.

21. Some people have to pay their
prescription drug plan a monthly
fee (called a premium) out of their
own pocket for prescription drug
coverage.

Shortened
question and
changed "the
plan" to "your
former plan."

Did you leave your former plan
because this monthly fee went up?
Yes
No
I did not have to pay my former
plan a monthly fee out of my own
pocket

Did you leave your former plan
because this monthly fee went up?
Yes
No
I did not have to pay my former
plan a monthly fee out of my own
pocket

21. Did you leave the plan because you stopped
paying the monthly fee for coverage for
prescription medicines?
Yes
No → If No, go to #23

N/A

N/A

Removed
question.

22. Why did you stop paying the plan’s monthly
fee?
I stopped paying the monthly fee because I
could not afford it
I stopped paying the monthly fee because I was
unhappy with the plan
I stopped paying the monthly fee for some
other reason
23. Prescription drug plans have a list of the
prescription medicines that the plan will cover.
Did you leave the plan because they changed the
list of prescription medicines they cover?
Yes
No

N/A

N/A

Removed
question.

20. Prescription drug plans have a
list of the prescription medicines
they will cover. Did you leave your
former plan because they changed
the list of prescription medicines
they cover? Yes/No

22. Prescription drug plans have a
list of the prescription medicines
they will cover. Did you leave your
former plan because they changed
the list of prescription medicines
they cover? Yes/No

Changed "the
plan will cover"
to "they will
cover."

24. Did you leave the plan because the dollar
amount you had to pay each time you filled or
refilled a prescription went up?
Yes
No

18. Did you leave your former plan
because the dollar amount you had
to pay each time you filled or
refilled a prescription went up?
Yes
No
I did not have to pay for my
prescription medicines

20. Did you leave your former plan Changed "the
because the dollar amount you had plan" to "your
former plan."
to pay each time you filled or
refilled a prescription went up?
Yes
No
I did not have to pay for my
prescription medicines

25. Did you leave the plan because you found a
prescription drug plan that costs less?
Yes
No

21. Did you leave your former plan
because you found a prescription
drug plan that costs less? Yes/No

23. Did you leave your former plan
because you found a prescription
drug plan that costs less? Yes/No

Changed "the
plan" to "your
former plan."

26. Did you leave the plan because a change in
your personal finances meant you could no longer
afford the plan?
Yes
No

22. Did you leave your former plan
because a change in your personal
finances meant you could no
longer afford the plan? Yes/No

24. Did you leave your former plan
because a change in your personal
finances meant you could no
longer afford the plan? Yes/No

Changed "the
plan" to "your
former plan."

27. Did you leave the plan because the plan
refused to pay for a medicine your doctor
prescribed?
Yes
No
28. Did you leave the plan because you had
problems getting the medicines your doctor
prescribed?
Yes
No
29. Did you leave the plan because it was difficult
to get brand name medicines?
Yes
No

23. Did you leave your former plan
because the plan refused to pay for
a medicine your doctor prescribed?
Yes/No

25. Did you leave your former plan Changed "the
because the plan refused to pay for plan" to "your
a medicine your doctor prescribed? former plan."
Yes/No

24. Did you leave your former plan
because you had problems getting
the medicines your doctor
prescribed? Yes/No

26. Did you leave your former plan
because you had problems getting
the medicines your doctor
prescribed? Yes/No

Changed "the
plan" to "your
former plan."

25. Did you leave your former plan
because it was difficult to get
brand name medicines?
Yes
No
I did not try to get brand name
medicines through my former plan

27. Did you leave your former plan
because it was difficult to get
brand name medicines?
Yes
No
I did not try to get brand name
medicines through my former plan

Changed "the
plan" to "your
former plan."

30. Did you leave the plan because you were
frustrated by the plan’s approval process for
medicines your doctor prescribed that were not
on the plan’s list of medicines that the plan
covers?
Yes
No
31. Did you leave the plan because you did not
know whom to contact when you had a problem
filling or refilling a prescription?
Yes
No

26. Did you leave your former plan
because you were frustrated by the
plan’s approval process for
medicines your doctor prescribed?
Yes/No

28. Did you leave your former plan Changed "the
because you were frustrated by the plan" to "your
former plan."
plan’s approval process for
medicines your doctor prescribed?
Yes/No

27. Did you leave your former plan
because you did not know whom
to contact when you had a
problem filling or refilling a
prescription? Yes/No

29. Did you leave your former plan
because you did not know whom
to contact when you had a
problem filling or refilling a
prescription? Yes/No

32. Did you leave the plan because it was hard to
get information from the plan -- like which
prescription medicines were covered or how
much a specific medicine would cost?
Yes
No

28. Did you leave your former plan
because it was hard to get
information from the plan
-- like which prescription medicines
were covered or how much a
specific medicine would cost?
Yes/No

30. Did you leave your former plan Changed "the
because it was hard to get
plan" to "your
information from the plan
former plan."
-- like which prescription medicines
were covered or how much a
specific medicine would cost?
Yes/No

33. Did you leave the plan because you were
unhappy with how the plan handled a question or
complaint?
Yes
No
34. Did you leave the plan because you could not
get the information or help you needed from the
plan?
Yes
No
35. Did you leave the plan because their customer
service staff did not treat you with courtesy and
respect?
Yes
No

29. Did you leave your former plan
because you were unhappy with
how the plan handled a question or
complaint?

31. Did you leave your former plan Changed "the
because you were unhappy with
plan" to "your
how the plan handled a question or former plan."
complaint?

30. Did you leave your former plan
because you could not get the
information or help you needed
from the plan? Yes/No

32. Did you leave your former plan
because you could not get the
information or help you needed
from the plan? Yes/No

Changed "the
plan" to "your
former plan."

31. Did you leave your former plan
because their customer service
staff did not treat you with
courtesy and respect? Yes/No

33. Did you leave your former plan
because their customer service
staff did not treat you with
courtesy and respect? Yes/No

Changed "the
plan" to "your
former plan."

Changed "the
plan" to "your
former plan."

(Intro) Every year Medicare evaluates all
Medicare prescription drug plans and gives each
plan a quality rating. The ratings are referred to as
the Medicare star or plan ratings. The ratings
provide Medicare beneficiaries information on
the quality of services a plan provides.

32. Every year Medicare evaluates
all prescription drug plans and
gives them a star rating that gives
information on prescription drug
plan quality.
Have you ever seen the Medicare
Star Rating for any health plan?
Yes/No

34. Every year Medicare evaluates
all prescription drug plans and
gives them a star rating that gives
information on prescription drug
plan quality.
Have you ever seen the Medicare
Star Rating for any health plan?
Yes/No

Added new
question.

36. Did you leave the plan because it got a low
Medicare Star Rating? Yes/no

33. Did you leave your former plan
because it got a low star rating?
Yes/No

35. Did you leave your former plan
because it got a low star rating?
Yes/No

37. Did you leave the plan because you found
another plan with a higher Medicare Star Rating?
Yes
No

34. Did you leave your former plan
because you found another plan
with a higher star rating? Yes/No

36. Did you leave your former plan
because you found another plan
with a higher star rating? Yes/No

Added new
question (above);
made this a
separate
question.
Changed "the
plan" to "your
former plan."

38. In the past year, did you think about the
Medicare Star or Plan ratings when making a
decision about enrolling in a health plan?
Yes
No

35. In the past year, did you
consider Medicare Star Ratings
when trying to choose a plan?
Yes/No

37. In the past year, did you
consider Medicare Star Ratings
when trying to choose a plan?
Yes/No

Revised question
for clarity.

39. Did you leave the plan because a family
member or friend told you that another
prescription drug plan was a better plan?
Yes
No

36. Did you leave your former plan
because a family member or friend
told you about a better plan?
Yes/No

38. Did you leave your former plan
because a family member or friend
told you about a better plan?
Yes/No

Changed "the
plan" to "former
plan;" underlined
"family member
or friend."

40. Did you leave the plan because you saw a
commercial or advertisement for a prescription
drug plan you thought you would like better?
Yes
No

37. Did you leave your former plan
because you saw a commercial or
advertisement for a health plan
you thought you would like better?
Yes/No

39. Did you leave your former plan
because you saw a commercial or
advertisement for a health plan
you thought you would like better?
Yes/No

Changed "the
plan" to "your
former plan."

41. Did you leave the plan because you found
another plan that better met your prescription
needs?
Yes
No

38. Did you leave your former plan
because you found another plan
that better met your prescription
needs? Yes/No

40. Did you leave your former plan
because you found another plan
that better met your prescription
needs? Yes/No

Changed "the
plan" to "your
former plan."

43. What was the one most important reason you
left [PLAN NAME]? (Check one)
Financial or cost reasons
Problems getting prescription drugs through
the plan
Problems getting information from the plan
about prescription drugs
Switched to another plan that offers better
benefits or coverage
Another reason. Please specify:
__________________________
__________________________

N/A

N/A

Removed
question.

(Header) YOUR EXPERIENCE WITH INSURANCE
AGENTS, BROKERS, OR PLAN REPRESENTATIVES

N/A

N/A

Removed item.

44. Different kinds of people sell health insurance. N/A
Insurance may be sold by independent insurance
agents or brokers who don’t work for the health
plan OR by plan representatives who work
directly for the plan.
Did an insurance agent, broker, or plan
representative ever call you without your asking
them to, to tell you about insurance for health
care or prescription medicines?
Yes
No

N/A

Removed
question.

45. Did an insurance agent, broker, or plan
representative ever visit your home without your
asking them to, to tell you about insurance for
health care or prescription medicines?
Yes
No

N/A

N/A

Removed
question.

46. Did you decide to leave [PLAN NAME] because
of information you got from an insurance agent,
broker, or plan representative?
Yes
No

N/A

N/A

Removed
question.

47. Did an insurance agent, broker, or plan
representative give you any information that was
not correct?
Yes
No → If No, go to #58

N/A

N/A

Removed
question.

What kind of information was not correct? Please N/A
check all that apply.
What the plan covered
What the plan would cost you
Which doctors belong to the plan
Which pharmacies are covered by the plan
Which hospitals are covered by the plan
Some other information
(please print)
_____________________________
_____________________________

N/A

Removed
question.

50. In general, how would you rate your overall
mental health?
Excellent
Very good
Good
Fair
Poor

41. In general, how would you rate
your overall mental or emotional
health?
Excellent
Very good
Good
Fair
Poor

43. In general, how would you rate
your overall mental or emotional
health?
Excellent
Very good
Good
Fair
Poor

Underlined
"mental or
emotional."

51, In the last 12 months, how many different
prescription medicines did you fill? (Don’t count
the same prescriptions twice)
None
1 to 2 medicines
3 to 5 medicines
6 or more medicines

42. In the past 12 months, how
many different prescription
medicines did you take?

44. In the past 12 months, how
many different prescription
medicines did you take?

Revised
question.

53. Is this a condition or problem that has lasted
for at least 3 months?
Yes
No

43. In the past 12 months, have
you seen a doctor or other health
provider 3 or more times for the
same condition or problem?

45. In the past 12 months, have
you seen a doctor or other health
provider 3 or more times for the
same condition or problem?

Revised for
consistency
across surveys.
Also changed
question order.

52. In the past 12 months, have you seen a doctor
or other health provider 3 or more times for the
same condition or problem?
Yes
No → If No, go to #63

44. Is this a condition or problem
that has lasted at least 3 months?

46. Is this a condition or problem
that has lasted at least 3 months?

Revised for
consistency
across surveys.
Also changed
question order.

54. Do you now need or take medicine prescribed
by a doctor?
Yes
No → If No, go to #65

45. Do you now need or take any
medicine prescribed by a doctor
for any condition?

47. Do you now need or take any
medicine prescribed by a doctor
for any condition?

Revised question
for clarity.

55. Is this to treat a condition that has lasted for
at least 3 months?
Yes
No

46. Is this medicine to treat a
condition that has lasted for at
least 3 months?

48. Is this medicine to treat a
condition that has lasted for at
least 3 months?

Revised question
for clarity.

56. Has a doctor ever told you that you had any of
the following conditions?
a. A heart attack?
Yes
No
b. Angina or coronary heart disease?
Yes
No
c. Hypertension or high blood pressure?
Yes
No
d. Cancer, other than skin cancer?
Yes
No
e. Emphysema, asthma or COPD (chronic
obstructive pulmonary disease)?
Yes
No
f. Any kind of diabetes or high blood sugar?
Yes
No

47. Has a doctor ever told you that
you have any of the following
conditions?
A heart attack
Angina or coronary heart disease
High blood pressure or
hypertension
Cancer, other than skin cancer
Emphysema, asthma or COPD
(chronic obstructive pulmonary
disease)
Any kind of diabetes or high
blood sugar

49. Has a doctor ever told you that
you have any of the following
conditions?
A heart attack
Angina or coronary heart disease
High blood pressure or
hypertension
Cancer, other than skin cancer
Emphysema, asthma or COPD
(chronic obstructive pulmonary
disease)
Any kind of diabetes or high
blood sugar

Revised question
and response
option #3.

66. What is your age?
18 to 24
25 to 34
35 to 44
45 to 54
55 to 64
65 to 74
75 to 79
80 to 84
85 or older

N/A

N/A

Removed
question.

58. Are you male or female?
Male
Female

N/A

N/A

Removed
question.

64. How did that person help you? Please mark
one or more.
Read the questions to me
Entered the answers I gave
Answered the questions for me
Translated the questions into my language
Helped in some other way (please print)
_____________________________

53. How did that person help you?
Please mark one or more.
Read the questions to me
Wrote down the answers I gave
Answered the questions for me
Translated the questions into my
language
Helped in some other way
(please
print)
____________________________

55. How did that person help you?
Please mark one or more.
Read the questions to me
Wrote down the answers I gave
Answered the questions for me
Translated the questions into my
language
Helped in some other way
(please
print)
____________________________

Revised question
for clarity.

65 .The Medicare Program is trying to learn more
about the health care or services provided to
people with Medicare. May we contact you again
about the health care services that you received?
Yes
No

54. May we contact you again if we
have questions about your survey
responses or if we have other
questions about the health care
services that you received?

56. May we contact you again if we
have questions about your survey
responses or if we have other
questions about the health care
services that you received?

Deleted first
sentence; revised
second sentence.