QAG V13.0 Survey Materials (Survey administration starting Q1 2027)


The CAHPS Hospice Survey Instruments which are posted below have been approved by OMB.

QAG V13.0 Survey Materials are to be used for survey administration starting Q1 2027.

English Survey Materials

Click here to view or download the Interviewing Guidelines Telephone
Click here to view or download the FAQs
Click here to view or download the Examples of Supplemental Questions
Click here to view or download the Informational Flyer
Click here to view or download the Prenotification Letter
Click here to view or download the Mail Survey Materials
Click here to view or download the Telephone Script
Click here to view or download the Web Survey Materials

Spanish Survey Materials

Click here to view or download the Interviewing Guidelines Telephone
Click here to view or download the FAQ
Click here to view or download the Examples of Supplemental Questions
Click here to view or download the Informational Flyer 
Click here to view or download the Prenotification Letter 
Click here to view or download the Mail Survey Materials
Click here to view or download the Telephone Script
Click here to view or download the Web Survey Materials

Simplified Chinese Survey Materials

Click here to view or download the Mail Survey
Click here to view or download the Web Survey
Click here to view or download the OMB Statement
Click here to view or download the Prenotification Letter
Click here to view or download the Initial Cover Letter 
Click here to view or download the Follow-up Cover Letter 
Click here to view or download the Email Invitation
Click here to view or download the Email Reminder
Click here to view or download the Additional Formatting 
Click here to view or download the Interviewing Guidelines Telephone
Click here to view or download the FAQ
Click here to view or download the Examples of Supplemental Questions
Click here to view or download the Informational Flyer 
Click here to view or download the Telephone Script

Traditional Chinese Survey Materials

Click here to view or download the Mail Survey
Click here to view or download the Web Survey
Click here to view or download the OMB Statement
Click here to view or download the Prenotification Letter
Click here to view or download the Initial Cover Letter 
Click here to view or download the Follow-up Cover Letter 
Click here to view or download the Email Invitation
Click here to view or download the Email Reminder
Click here to view or download the Additional Formatting 
Click here to view or download the Interviewing Guidelines Telephone
Click here to view or download the FAQ
Click here to view or download the Examples of Supplemental Questions
Click here to view or download the Informational Flyer 
Click here to view or download the Telephone Script

Korean Survey Materials

Click here to view or download the Mail Survey
Click here to view or download the Web Survey
Click here to view or download the OMB Statement
Click here to view or download the Prenotification Letter
Click here to view or download the Initial Cover Letter 
Click here to view or download the Follow-up Cover Letter 
Click here to view or download the Email Invitation
Click here to view or download the Email Reminder
Click here to view or download the Additional Formatting 
Click here to view or download the Interviewing Guidelines Telephone
Click here to view or download the FAQ
Click here to view or download the Examples of Supplemental Questions
Click here to view or download the Informational Flyer 
Click here to view or download the Telephone Script

Polish Survey Materials

Click here to view or download the Mail Survey
Click here to view or download the Web Survey
Click here to view or download the OMB Statement
Click here to view or download the Prenotification Letter
Click here to view or download the Initial Cover Letter 
Click here to view or download the Follow-up Cover Letter 
Click here to view or download the Email Invitation
Click here to view or download the Email Reminder
Click here to view or download the Additional Formatting 
Click here to view or download the Interviewing Guidelines Telephone
Click here to view or download the FAQ
Click here to view or download the Examples of Supplemental Questions
Click here to view or download the Informational Flyer 
Click here to view or download the Telephone Script

Portuguese Survey Materials

Click here to view or download the Mail Survey
Click here to view or download the Web Survey
Click here to view or download the OMB Statement
Click here to view or download the Prenotification Letter
Click here to view or download the Initial Cover Letter 
Click here to view or download the Follow-up Cover Letter 
Click here to view or download the Email Invitation
Click here to view or download the Email Reminder
Click here to view or download the Additional Formatting 
Click here to view or download the Interviewing Guidelines Telephone
Click here to view or download the FAQ
Click here to view or download the Examples of Supplemental Questions
Click here to view or download the Informational Flyer 
Click here to view or download the Telephone Script

Russian Survey Materials

Click here to view or download the Mail Survey
Click here to view or download the Web Survey
Click here to view or download the OMB Statement
Click here to view or download the Prenotification Letter
Click here to view or download the Initial Cover Letter 
Click here to view or download the Follow-up Cover Letter 
Click here to view or download the Email Invitation
Click here to view or download the Email Reminder
Click here to view or download the Additional Formatting 
Click here to view or download the Interviewing Guidelines Telephone
Click here to view or download the FAQ
Click here to view or download the Examples of Supplemental Questions
Click here to view or download the Informational Flyer 
Click here to view or download the Telephone Script

Vietnamese Survey Materials

Click here to view or download the Mail Survey
Click here to view or download the Web Survey
Click here to view or download the OMB Statement
Click here to view or download the Prenotification Letter
Click here to view or download the Initial Cover Letter 
Click here to view or download the Follow-up Cover Letter 
Click here to view or download the Email Invitation
Click here to view or download the Email Reminder
Click here to view or download the Additional Formatting 
Click here to view or download the Interviewing Guidelines Telephone
Click here to view or download the FAQ
Click here to view or download the Examples of Supplemental Questions
Click here to view or download the Informational Flyer 
Click here to view or download the Telephone Script

The QAG V12.0 Survey Materials which will be used through Q4 2026 decedent survey administration can be found here.