Items and Response Categories for the Person-Centered Primary Care Measure (PCPCM)
| For each item, choose the response that best fits your experience: | Response |
|---|---|
| 1. The practice makes it easy for me to get care. | Definitely (4) Mostly (3) Somewhat (2) Not at all (1) |
| 2. This practice is able to provide most of my care. | Definitely (4) Mostly (3) Somewhat (2) Not at all (1) |
| 3. In caring for me, my doctor considers all of the factors that affect my health. | Definitely (4) Mostly (3) Somewhat (2) Not at all (1) |
| 4. My practice coordinates the care I get from multiple places. | Definitely (4) Mostly (3) Somewhat (2) Not at all (1) |
| 5. This doctor or practice knows me as a person. | Definitely (4) Mostly (3) Somewhat (2) Not at all (1) |
| 6. My doctor and I have been through a lot together. | Definitely (4) Mostly (3) Somewhat (2) Not at all (1) |
| 7. My doctor or practice stands up for me. | Definitely (4) Mostly (3) Somewhat (2) Not at all (1) |
| 8. The care I get takes into account knowledge of my family. | Definitely (4) Mostly (3) Somewhat (2) Not at all (1) |
| 9. The care I get in this practice is informed by knowledge of my community. | Definitely (4) Mostly (3) Somewhat (2) Not at all (1) |
| 10. Over time, this practice helps me to meet my goals. | Definitely (4) Mostly (3) Somewhat (2) Not at all (1) |
| 11. Over time, my practice helps me stay healthy. | Definitely (4) Mostly (3) Somewhat (2) Not at all (1) |