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    QAG V10.0 Survey Materials (Survey administration through Q1 2025)


    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.

    QAG V10.0 Survey Materials are to be used for survey administration through Q1 2025.

    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 Project Team has posted the Quality Assurance Guidelines V11.0 English, Spanish, Traditional Chinese, Simplified Chinese, Russian, Portuguese, Vietnamese, Polish, and Korean version of the Mail Survey Materials, Prenotification Letter, Web Survey Materials, and Informational Flyer.

    The FAQs, Interviewing Guidelines Telephone, Telephone Script, and Examples of Supplemental Questions are available in English and Spanish.

    [View QAG V11.0 Survey Materials]

    Information for Vendors
    Information for Hospices
    Survey Materials
    Quality Assurance Guidelines
    Public Reporting
      CAHPS® Hospice Survey