Survey Instruments

CAHPS® Hospice Survey

Survey Instruments
     

The CAHPS Hospice Survey Instruments posted below have been approved by OMB (mail and telephone). To view or download a PDF version of the survey, click on the links below.

 CAHPS Hospice Survey Mail Materials V7.0

  • Click here to view or download the English mail survey materials (Updated 12/11/2020)
  • Click here to view or download the Spanish mail survey materials (Updated 12/11/2020)
  • Click here to view or download the Traditional Chinese mail survey materials (Updated 12/11/2020)
  • Click here to view or download the Simplified Chinese mail survey materials (Updated 12/11/2020)
  • Click here to view or download the Russian mail survey materials (Updated 12/11/2020)
  • Click here to view or download the Portuguese mail survey materials (Updated 12/11/2020)
  • Click here to view or download the Vietnamese mail survey materials (Updated 04/09/2021)
  • Click here to view or download the Polish mail survey materials (Updated 12/11/2020)
  • Click here to view or download the Korean mail survey materials (Updated 12/11/2020)

CAHPS Hospice Survey Telephone Scripts V7.0

  • Click here to view or download the English Telephone Script (Updated 12/11/2020)
  • Click here to view or download the Spanish Telephone Script (Updated 12/11/2020)
  • Click here to view or download the Russian Telephone Script (Updated 12/11/2020)

 

This page was last modified on 04/09/2021