From: Assessing health literacy in the eastern and middle-eastern cultures
Domain | Item# | Questions | Responses | ||||
---|---|---|---|---|---|---|---|
Write/Fillout | 1 | You can write your name and Complete the treatment consent form | Never (1) | Rarely (2) | Sometimes (3) | Most times (4) | Always (5) |
2 | You can write and complete the past medical history form | Never (1) | Rarely (2) | Sometimes (3) | Most times (4) | Always (5) | |
Differentiate & Demonstrate | 3 | You can understand and demonstrate reading the English Newspaper | Never (1) | Rarely (2) | Sometimes (3) | Most times (4) | Always (5) |
4 | You can your understand and differentiate between the two similar medication labels | Never (1) | Rarely (2) | Sometimes (3) | Most times (4) | Always (5) | |
Navigate the Health Care System | 5 | You can read and identify the hospital signs shown | Never (1) | Rarely (2) | Sometimes (3) | Most times (4) | Always (5) |
6 | You can read and Identify the out-patient clinic where you have your appointment | Never (1) | Rarely (2) | Sometimes (3) | Most times (4) | Always (5) | |
Read & Understand | 7 | You can understand and demonstrate reading the local language Newspaper | Never (1) | Rarely (2) | Sometimes (3) | Most times (4) | Always (5) |
8 | You can correctly demonstrate understanding of the local currency denominations | Never (1) | Rarely (2) | Sometimes (3) | Most times (4) | Always (5) | |
9 | You can read and understand the appointment slip | Never (1) | Rarely (2) | Sometimes (3) | Most times (4) | Always (5) | |
10 | You can read and understand the patient education material given to you | Never (1) | Rarely (2) | Sometimes (3) | Most times (4) | Always (5) | |
11 | You can read and understand patient rights & responsibilities sheet | Never (1) | Rarely (2) | Sometimes (3) | Most times (4) | Always (5) | |
12 | You can understand and differentiate the dosage instructions on the medication bottle label | Never (1) | Rarely (2) | Sometimes (3) | Most times (4) | Always (5) | |
13 | You can understand and differentiate when and how medication needs to be taken from the prescription. | Never (1) | Rarely (2) | Sometimes (3) | Most times (4) | Always (5) |