CAHPS^® Hospice Survey

QAG V11.0 Survey Materials (Survey administration starting Q2 2025)

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 V11.0 Survey Materials are to be used for survey administration starting Q2 2025.

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 (February 2025)
Click here to view or download the Telephone Script (February 2025)
Click here to view or download the Web Survey Materials (February 2025)

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 (February 2025)
Click here to view or download the Telephone Script (June 2025)
Click here to view or download the Web Survey Materials (February 2025)

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

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

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

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

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

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

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 CAHPS Hospice Survey Project Team has posted the Quality Assurance Guidelines V12.0 which are available here.

The CAHPS Hospice Survey Project Team has posted the Quality Assurance Guidelines V12.0 English, Spanish, Traditional Chinese, Simplified Chinese, Russian, Portuguese, Vietnamese, Polish, and Korean version of the Mail Survey Materials, Prenotification Letter, Web Survey Materials, FAQs, Interviewing Guidelines Telephone, Telephone Script, Examples of Supplemental Questions, and Informational Flyer, which are available here.