Results indicate very low health literacy in the clinic population,despite half of the population reporting high school graduation.Those taking the REALM-R were able to pronounce an average of 5 out of the 8 scored words with 93% falling in the“low”or“very ow”literacy categories.The lowest score was a zero and the highest was an 8/8.Of those taking the S-TOFHLA, the average score was a 17.9 out of 36 points,with 86.7%falling in the“inadequate”or“marginal”literacy categories.The lowest score in the sample was a 10 out of 36 and the highest was a 33