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    • CAHPS® Hospice Survey


    QAG V12.0 Survey Materials (Survey administration starting Q1 2026)


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

    QAG V12.0 Survey Materials are to be used for survey administration starting Q1 2026.

    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

    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, FAQs, Interviewing Guidelines Telephone, Telephone Script, Examples of Supplemental Questions, and Informational Flyer.

    [View QAG V11.0 Survey Materials]

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