of a single higher level operation, such as multiplication. In this example, readers are shown a menu and are required to compute the cost of a specified meal and use multiplication to determine a ten percent tip.

Quantitative Level 5. Quantitative literacy tasks at level 5 required a person to perform multiple arithmetic operations sequentially, when the features of the problem had to be extracted from text; or when background knowledge was required to determine the quantities or operations needed.

Task: Use the ad for Home Equity Loans to answer this question.

You need to borrow $10,000. Explain to the interviewer how you would compute the total amount of interest charges you would pay under this loan plan. Please tell the interviewer when you are ready to begin.

The answer is correct if the speaker explains the two basic steps in computing the total interest charges, i.e., the monthly payment ($156.77) times the number of payments (120) equals the total loan payment; the

Front Matter (R1-R20)

Executive Summary (1-18)

1 Introduction (19-30)

2 What Is Health Literacy? (31-58)

3 Extent and Associations of Limited Health Literacy (59-107)

4 Culture and Society (108-141)

5 Educational Systems (142-166)

6 Health Systems (167-239)

7 Vision for a Health Literate America (240-242)

Appendix A: Data Sources and Methods (243-254)

Appendix B: Commissioned Papers (255-300)

Appendix C: Sample Material from Selected Assessments of Literacy and Health Literacy (301-322)

Appendix D: Committee and Staff Biographies (323-330)

Index (331-346)