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    • CAHPS® Hospice Survey


    QAG V11.0 Survey Materials


    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.

     

    English 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 (January 2025)
    Click here to view or download the Telephone Script 
    Click here to view or download the Web Survey Materials (Janauary 2025)

    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 

     

     

    QAG V10.0 Survey Materials

    CAHPS Hospice Survey mail materials are available in English, Spanish, Traditional Chinese, Simplified Chinese, Russian, Portuguese, Vietnamese, Polish, and Korean. There are three response options for each mail survey (square, oval, and circle). The cover letters for the initial and follow-up mailing along with the OMB Paperwork Reduction Act Language are provided in each translation.

    CAHPS Hospice Survey Telephone Scripts are available in English, Spanish, and Russian.

    [ View V10.0 Survey Materials ]

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