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Performance Benchmark Questions

Results from questions relating to gaining, maintaining, or losing confidence related to performance benchmark questions are not reliable. Many of the clients seem to be answering these questions not based on satisfaction with service delivery, but rather on the fact that they have lost more functioning primarily related to progressive physical conditions. We have received recommendations that consideration be given to the wording on the 7-OB reports, and would like to know if any state has a questionnaire based primarily on performance benchmarks that has revised these questions in a way to rule out other issues.