Survey Instruments
     

The 29-item HCAHPS Quality Assurance Guidelines V14.0 Survey Instruments Effective for October 1, 2019 Discharges and Forward Are Now Available

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.


Updated 32-Question HCAHPS Mail Survey With OMB Expiration Date Now Available for Use with April 1, 2019 Through September 30, 2019 Patient Discharges

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

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 Russian survey materials.

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

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

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


The PDF versions of the copyright statement from the HCAHPS Quality Assurance Guidelines V13.0 are available in English, Spanish, Chinese, Russian, 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.

 

This page was last modified on (5/13/19)