CAHPS® Hospice Survey

Survey Instruments
     

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

 CAHPS Hospice Survey Mail Materials V3.0

  • Click here to view or download the English mail survey materials (Updated 12/19/2016)
  • Click here to view or download the Spanish mail survey materials (Updated 12/19/2016)
  • Click here to view or download the Traditional Chinese mail survey materials (Updated 05/26/2017)
  • Click here to view or download the Simplified Chinese mail survey materials (Updated 05/26/2017)
  • Click here to view or download the Russian mail survey materials (Updated 12/19/2016)
  • Click here to view or download the Portuguese mail survey materials (Updated 12/19/2016)
  • Click here to view or download the Vietnamese mail survey materials (Updated 12/19/2016)
  • Click here to view or download the Polish mail survey materials (Updated 12/19/2016)
  • Click here to view or download the Korean mail survey materials (Updated 12/19/2016)

CAHPS Hospice Survey Telephone Scripts V3.0

  • Click here to view or download the English Telephone Script (Updated 12/19/2016)
  • Click here to view or download the Spanish Telephone Script (Updated 12/19/2016)

 

This page was last modified on 07/10/2017