Survey Instruments
     

New HCAHPS Technical Assistance Email Address (hcahps@hsag.com)

HCAHPS Quality Assurance Guidelines V15.0 Survey Instruments Effective for July 1, 2020 Discharges and Forward Are Now Available

The PDF versions of the survey instruments are available in English, Spanish, Russian, Chinese, Vietnamese, Portuguese and German. Additional translations for the Optional Modified survey materials have been posted below.

Mail Survey Materials

     Click here to view or download the English survey materials.

     Click here to view or download the English Optional Modified Cover Letters.

     Click here to view or download the Spanish survey materials.

     Click here to view or download the Spanish Optional Modified Cover Letters.

     Click here to view or download the Chinese survey materials.

     Click here to view or download the Chinese Optional Modified Cover Letters.

     Click here to view or download the Russian survey materials.

     Click here to view or download the Russian Optional Modified Cover Letters.

     Click here to view or download the Vietnamese survey materials.

     Click here to view or download the Vietnamese Optional Modified Cover Letters.

     Click here to view or download the Portuguese survey materials.

     Click here to view or download the Portuguese Optional Modified Cover Letters.

     Click here to view or download the German survey materials.

     Click here to view or download the German Optional Modified Cover Letters.


Telephone Scripts

     Click here to view or download the English Telephone Script.

     Click here to view or download the English Telephone Script with Optional Modified Introduction.

     Click here to view or download the Spanish Telephone Script.

     Click here to view or download the Spanish Telephone Script with Optional Modified Introduction.

     Click here to view or download the Chinese Telephone Script.

     Click here to view or download the Chinese Telephone Script with Optional Modified Introduction.

     Click here to view or download the Russian Telephone Script.

     Click here to view or download the Russian Telephone Script with Optional Modified Introduction.


Active IVR Scripts

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

     Click here to view or download the English Active Interactive Voice Response Script with Optional Modified Introduction.

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

     Click here to view or download the Spanish Active Interactive Voice Response Script with Optional Modified Introduction.


The PDF versions of the copyright statement from the HCAHPS Quality Assurance Guidelines V15.0 are available in English, Spanish, Chinese, Russian, Vietnamese, Portuguese and German.

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.

     Click here to view or download the German copyright statement.


The HCAHPS Quality Assurance Guidelines V14.0 Survey Instruments Effective for October 1, 2019 Through June 30, 2020 Discharges Are Available Below

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

The HCAHPS Survey Instruments have been updated to include the OMB expiration date (Appendices A-G), the mandatory transition statement (Appendices A-M), and to revise the verbiage in question 29 (Appendices H-M).

Mail Survey Materials

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

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

     Click here to view or download the Updated Chinese survey materials.

     Click here to view or download the Updated Russian survey materials.

     Click here to view or download the Updated Vietnamese survey materials.

     Click here to view or download the Updated Portuguese survey materials.

     Click here to view or download the Updated German survey materials.


Telephone Scripts

     Click here to view or download the Updated English Telephone Script.

     Click here to view or download the Updated Spanish Telephone Script.

     Click here to view or download the Updated Chinese Telephone Script.

     Click here to view or download the Updated Russian Telephone Script.


Active IVR Scripts

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

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


The PDF versions of the copyright statement from the HCAHPS Quality Assurance Guidelines V14.0 are available in English, Spanish, Chinese, Russian, Vietnamese, Portuguese and German.

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.

     Click here to view or download the German copyright statement.


 

 

This page was last modified on (6/25/20)