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Survey Instruments

HCAHPS DRAFT Quality Assurance Guidelines V19.0 Survey Instruments Effective for January 1, 2025 Discharges and Forward Are Now Available (Survey content subject to pending rulemaking August 2024)

The PDF versions of the survey instruments are available in English and Spanish. The Chinese, Russian, Vietnamese, Portuguese, German, Tagalog and Arabic translations will be made available after FY 2025 Final IPPS Rule is posted.

Mail Survey Materials

     Click here to view or download the DRAFT English survey materials.

     Click here to view or download the DRAFT Spanish survey materials.


Phone Scripts

     Click here to view or download DRAFT English Phone Script.

     Click here to view or download DRAFT Spanish Phone Script.   


Web Scripts

     Click here to view or download DRAFT English Web Script.

     Click here to view or download DRAFT Spanish Web Script


HCAHPS Quality Assurance Guidelines V18.0 Survey Instruments Effective for July 1, 2023 Through December 31, 2024 Dicharges Are Available Below

The PDF versions of the survey instruments are available in English, Spanish, Chinese, Russian, Vietnamese, Portuguese, German, Tagalog, and Arabic.

Mail Survey Materials

     Click here to view or download the English survey materials.

     Click here to view or download the Spanish survey materials.

     Click here to view or download the Chinese survey materials.

     Click here to view or download the Russian survey materials.

     Click here to view or download the Vietnamese survey materials.

     Click here to view or download the Portuguese survey materials.

     Click here to view or download the German survey materials.

     Click here to view or download the Tagalog survey materials.

     Click here to view or download the Arabic survey materials.


Telephone Scripts

     Click here to view or download the English Telephone Script.

     Click here to view or download the Spanish Telephone Script.

     Click here to view or download the Chinese Telephone Script.

     Click here to view or download the Russian Telephone Script.


Active IVR Scripts

     Click here to view or download the English Active Interactive Voice Response Script.

     Click here to view or download the Spanish Active Interacative Voice Response Script.

 

 

This page was last modified on (05/10/24)