QAG V10.0 Survey Materials


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

 

Mail Materials

Click here to view or download the English mail survey materials (Updated 02/15/2024)
Click here to view or download the Spanish mail survey materials (Updated 02/15/2024)
Click here to view or download the Traditional Chinese mail survey materials (Updated 03/15/2024)
Click here to view or download the Simplified Chinese mail survey materials (Updated 03/15/2024)
Click here to view or download the Russian mail survey materials (Updated 03/15/2024)
Click here to view or download the Portuguese mail survey materials (Updated 03/15/2024)
Click here to view or download the Vietnamese mail survey materials (Updated 03/15/2024)
Click here to view or download the Polish mail survey materials (Updated 03/15/2024)
Click here to view or download the Korean mail survey materials (Updated 03/15/2024)

Telephone Survey Scripts

Click here to view or download the English Telephone Script (Updated 12/11/2023)
Click here to view or download the Spanish Telephone Script (Updated 12/11/2023)
Click here to view or download the Russian Telephone Script (Updated 12/11/2023)

QAG V11.0 Survey Materials

The CAHPS Hospice Survey QAG V11.0 Survey Instruments have been approved by OMB. The English and Spanish materials are available at the link below.

[View QAG V11.0 Survey Materials]