Health Literacy Skills Instrument User Agreement

The Health Literacy Skills Instrument (HLSI) was developed to assess four (4) domains of health literacy skills: print literacy (reading and writing), numeracy skills, oral literacy skills (listening), and information seeking (navigation of Internet and facilities). Users are presented health information stimuli on the survey which represent health related issues across the life course for health promotion and disease prevention, health care maintenance and treatment, and health system and health information navigation.

The HLSI can be self-administered via a computer, which can reduce data collection costs and minimize potential discomfort or embarrassment among participants. The HLSI is designed to be used in intervention research studies as well as for national and local surveillance.

User Registration Form and Agreement

Individuals who plan to use the instrument are asked to complete the registration form on this page and submit it to RTI. After submitting the form, you will be directed to a page with a downloadable version of the Health Literacy Skills Instrument.

The materials associated with the instrument are copyrighted and the property of RTI and its partners. The information provided herein is for information only and RTI expressly disclaims any obligation to maintain or update this information. No representation or warranty, express or implied, as to the accuracy or completeness of the information or views contained herein is or will be given by RTI. Any use of or reliance on any of the information or views herein is the sole responsibility of the user, and RTI expressly disclaims all liability associated with any such use.

Certain stimuli on the survey are made available to researcher through a limited license that RTI International has with Healthwise® for the sole purpose of conducting a health literacy survey. Users cannot use the stimuli for purposes other than conducting a health literacy survey. This content is hosted on Healthwise® servers for the duration of the licensing agreement. Other audio stimuli are hosted on RTI’s server. The HLSI questionnaire contains links to the stimuli and will be shared with users upon receipt of their user registration form. To receive and have permission to use the HLSI, users must agree to these terms of use.

In order to continue our efforts to validate the instrument, we request that users share their de-identified data. We also will contact you periodically with updates about the instrument and results from studies which have used it.

Fields with an * are required for submission.


Please contact us if you have questions about using the Health Literacy Skills Instrument.

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