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Survey Instruments

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

HCAHPS Quality Assurance Guidelines V17.0 Survey Instruments Effective for July 1, 2022 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.

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.


HCAHPS Mail Survey Instruments Effective for December 1, 2021 through June 30, 2022 Discharges are Available Below

The HCAHPS Mail Survey instruments have been updated to include the new OMB expiration date for patients discharged December 1, 2021 and forward.

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.

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


HCAHPS Quality Assurance Guidelines V16.0 Telephone and IVR Survey Instruments Effective for July 1, 2021 Through June 30, 2022 Discharges are Available Below

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.


 

This page was last modified on (02/23/22)