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Survey Instruments

HCAHPS Quality Assurance Guidelines V19.0 Survey Instruments Effective for January 1, 2025 Discharges and Forward Are Now Available 

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

The HCAHPS Survey Instruments have been updated to include the OMB expiration date (for mail and web).

Mail Survey Materials


Phone Scripts


Web Survey Materials


HCAHPS Quality Assurance Guidelines V18.0 Survey Instruments Effective for July 1, 2023 Through December 31, 2024 Discharges 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 (12/03/24)