HCAHPS Survey Translation Suggestions
CMS is inviting HCAHPS participants to suggest future language
translations of the HCAHPS survey.
Please complete the boxes below to provide CMS with suggestions for the CAHPS®
Hospital Survey translations. (All fields are required)
Please provide any additional information that would be helpful in considering the
suggested translation.
Surveys:
Click
here to view the HCAHPS survey instrument.
Click
here to view the HCAHPS survey instrument (Spanish version).
Click here
to view the HCAHPS survey instrument (Chinese version).
Telephone Survey Scripts:
Click here
to view the HCAHPS Survey Telephone Script.
Click here
to view the HCAHPS Survey Telephone Script (Spanish version).
Cover Letters:
Click here
to view the HCAHPS survey sample initial
cover letter.
Click here
to view the HCAHPS survey sample initial
cover letter (Spanish version).
Click here
to view the HCAHPS survey sample initial
cover letter (Chinese version).
Click here
to view the HCAHPS survey sample follow-up
cover letter.
Click here
to view the HCAHPS survey sample follow-up
cover letter (Spanish version).
Click here
to view the HCAHPS survey sample follow-up
cover letter (Chinese version).
OMB Language:
Click here
to view the HCAHPS survey OMB Paperwork Reduction Act Language.
Click
here to view the HCAHPS survey OMB Paperwork Reduction Act Language (Spanish
version).
Click here to view
the HCAHPS survey OMB Paperwork Reduction Act Language (Chinese version).