Survey Materials


The CAHPS Hospice Survey Instruments have been approved by OMB.

English language materials must be the default language in the continental U.S. and Spanish language materials must be the default language in Puerto Rico.

CMS strongly encourages hospices with a significant caregiver population that speaks Spanish, Chinese, Russian, Portuguese, Vietnamese, Polish, or Korean to offer the CAHPS Hospice Survey in all applicable languages.

The Quality Assurance Guidelines V12.0 is available here.

The Quality Assurance Guidelines V12.0 English, Spanish, Traditional Chinese, Simplified Chinese, Russian, Portuguese, Vietnamese, Polish, and Korean version of the Mail Survey Materials, Prenotification Letter, Web Survey Materials, FAQs, Interviewing Guidelines Telephone, Telephone Script, Examples of Supplemental Questions, and Informational Flyer are available here

CAHPS Hospice Survey Quality Assurance Guidelines V12.0 Technical Corrections and Clarifications Document (April 2026)
View or Download Here

Technical Corrections QAG V12.0 Revised Materials

Appendix R, CAHPS Hospice Web Survey Materials – Spanish (April 2026)

Appendix R, CAHPS Hospice Web Survey Materials – English (December 2025)

Appendix Q, CAHPS Hospice Phone Survey Materials – English (December 2025)

CAHPS Hospice Phone Survey Materials – Spanish (December 2025)

 

The Quality Assurance Guidelines V13.0 is available here.

The Quality Assurance Guidelines V13.0 English, Spanish, Traditional Chinese, Simplified Chinese, Russian, Portuguese, Vietnamese, Polish, and Korean version of the Mail Survey Materials, Prenotification Letter, Web Survey Materials, FAQs, Interviewing Guidelines Telephone, Telephone Script, Examples of Supplemental Questions, and Informational Flyer are available here