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Hospital Care Quality Information from the Consumer Perspective
  CAHPS┬« Hospital Survey
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Survey Instruments
The PDF versions of the survey instruments from the HCAHPS Quality Assurance Guidelines V10.0 are available in English, Spanish, Russian, Chinese, Vietnamese, and Portuguese.

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 Russian survey materials.
Click here to view or download the Chinese survey materials.
Click here to view or download the Vietnamese survey materials.
Click here to view or download the Portuguese survey materials.



Telephone and Active IVR 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 English Active Interactive Voice Response Script.
Click here to view or download the Spanish Active Interactive Voice Response Script.


The PDF versions of the copyright statement from the HCAHPS Quality Assurance Guidelines V11.0 are available in English, Spanish, Russian, Chinese, Vietnamese, and Portuguese.

Copyright Statement

Click here to view or download the English copyright statement.
Click here to view or download the Spanish copyright statement.
Click here to view or download the Russian copyright statement.
Click here to view or download the Chinese copyright statement.
Click here to view or download the Vietnamese copyright statement.
Click here to view or download the Portuguese copyright statement.