This single-page 12-question survey, a cost-efficient re-fold self-mailer, is designed to update current information on Medicare-aged health plan members. The Brief Health Questionnaire takes only 5-10 minutes to complete, and there is no loss of accuracy compared to the Health Status Questionnaire. Most persons aged 65+ are not in poor health, so the survey includes questions of interest to healthy persons to ensure a high response. Frailty indicators are couched among innocuous questions of general interest such as meaningful relationships, sense of humor, and water drinking. Additional questions target geriatric syndromes such as:

• Memory loss
• Falls
• Weight loss
• Pain
• Sleep problems
  

The instrument also includes informational “Points of Interest for Healthy Aging” to promote reflection on various aspects of safety and self-care.

Services with mailed surveys

• Frailty calculation
  
• Microsoft Access^®-based Software
  
• Summary sheet
  
• Aggregate reports
  
• Secure Web file transfer
  
• Postcard reminder
  
• Consulting services
  
• Address changes and termination information