This study surveyed nutrition education materials which are low in cos
t, brief and the type most used in patient education to determine whic
h might be useful with low literacy clients. Readability of 209 pamphl
ets from professional health organizations, commercial organizations,
government agencies, and educational institutions was assessed using t
hree different tests. Using the Flesch and Raygor tests, materials fro
m educational institutions had significantly lower reading levels than
materials from professional organizations and government agencies. No
significant differences were seen among the sources using the Fry tes
t. Sixty-eight percent (142) of the publications were written at ninth
grade level or higher. Eleven percent (24) scored at sixth grade or b
elow on either the Fry or Raygor scale. Only two publications were wri
tten at the third grade level. Many of the publications reviewed can b
e read and understood by many Americans, but there were few for the mi
llions that have limited literacy skills.