-
www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/ptoutcome-mail.html
March 01, 2025 - 1 ___ Never 2 ___ Sometimes 3 ___ Usually 4 ___ Always 7. … 1 ___ Never 2 ___ Sometimes 3 ___ Usually 4 ___ Always 8. … 1 ___ Never 2 ___ Sometimes 3 ___ Usually 4 ___ Always 9. … 1 ___ Never 2 ___ Sometimes 3 ___ Usually 4 ___ Always 10. … 1 ___ Never 2 ___ Sometimes 3 ___ Usually 4 ___ Always 11.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/american-indian/american-indian-eng-851.docx
March 04, 2009 - 1|_| Never
2|_| Sometimes
3|_| Usually
4|_| Always
5. … 1|_| Never
2|_| Sometimes
3|_| Usually
4|_| Always
11. … 1|_| Never
2|_| Sometimes
3|_| Usually
4|_| Always
18. … 1|_| Never
2|_| Sometimes
3|_| Usually
4|_| Always
31. … 1|_| Never
2|_| Sometimes
3|_| Usually
4|_| Always
33.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/dental/dental-plan-adult-eng-751.doc
February 10, 2009 - 1 FORMCHECKBOX
Never
2 FORMCHECKBOX
Sometimes
3 FORMCHECKBOX
Usually
4 FORMCHECKBOX
Always
7. … 1 FORMCHECKBOX
Never
2 FORMCHECKBOX
Sometimes
3 FORMCHECKBOX
Usually
4 FORMCHECKBOX
Always
8. … 1 FORMCHECKBOX
Never
2 FORMCHECKBOX
Sometimes
3 FORMCHECKBOX
Usually
4 FORMCHECKBOX
Always
9 … 1 FORMCHECKBOX
Never
2 FORMCHECKBOX
Sometimes
3 FORMCHECKBOX
Usually
4 FORMCHECKBOX
Always
10 … 1 FORMCHECKBOX
Never
2 FORMCHECKBOX
Sometimes
3 FORMCHECKBOX
Usually
4 FORMCHECKBOX
Always
12
-
www.ahrq.gov/cahps/surveys-guidance/item-sets/hp/suppl-healthlit-items-hp-survey50-adult.html
April 01, 2020 - 1 ☐ Never
2 ☐ Sometimes
3 ☐ Usually
4 ☐ Always
After P-HL2
P-HL4. … 1 ☐ Never
2 ☐ Sometimes
3 ☐ Usually
4 ☐ Always
After P-HL7
P-HL9. … 1 ☐ Never → If Never, go to P-HL19
2 ☐ Sometimes
3 ☐ Usually
4 ☐ Always
After P-HL16 … 1 ☐ Never
2 ☐ Sometimes
3 ☐ Usually
4 ☐ Always
After P-HL17
P-HL19. … 1 ☐ Never
2 ☐ Sometimes
3 ☐ Usually
4 ☐ Always
After P-HL19
P-HL21.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/PCMH/adult-eng-cg30-pcmh-2352a.docx
October 30, 2020 - 1|_| Never
2|_| Sometimes
3|_| Usually
4|_| Always
7. … 1|_| Never
2|_| Sometimes
3|_| Usually
4|_| Always
9. … 1|_| Never
2|_| Sometimes
3|_| Usually
4|_| Always
13. … 1|_| Never
2|_| Sometimes
3|_| Usually
4|_| Always
14. … 1|_| Never
2|_| Sometimes
3|_| Usually
4|_| Always
16.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/PCMH/adult-eng-cg30-pcmh.pdf
October 30, 2020 - 1 Never
2 Sometimes
3 Usually
4 Always
9. … 1 Never
2 Sometimes
3 Usually
4 Always
12. … 1 Never
2 Sometimes
3 Usually
4 Always
13. … 1 Never
2 Sometimes
3 Usually
4 Always
14. … 1 Never
2 Sometimes
3 Usually
4 Always
16.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2021-childhcahps-chartbook.pdf
January 01, 2021 - Q45 Providers involved teen in discussions about care
• Never
• Sometimes
• Usually
• Always … Q34 Room was quiet at night
• Never
• Sometimes
• Usually
• Always
18
Child HCAHPS Survey … to parent
Never,
Sometimes,
Usually, Always
12% 20% 68%
Doctors explained
things to parent … in a
way that was easy to
understand
Never,
Sometimes,
Usually, Always
7% 21% 72%
Doctors … treated
parent with courtesy
and respect
Never,
Sometimes,
Usually, Always
15% 19% 66%
Composite
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/end-of-life/end-of-life-care-survey-english.pdf
December 03, 2024 - 1 Never
2 Sometimes
3 Usually
4 Always
7. … 1 Never
2 Sometimes
3 Usually
4 Always
9. … 1 Never
2 Sometimes
3 Usually
4 Always
10. … 1 Never
2 Sometimes
3 Usually
4 Always
11. … 1 Never
2 Sometimes
3 Usually
4 Always
12.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/instructions/suppl-access_items_cg-cahps-adult-survey_2357-1a.docx
June 02, 2025 - 1|_| Never
2|_| Sometimes
3|_| Usually
4|_| Always
After AC3
Note: Use with AC3
AC5. … 1|_| Never
2|_| Sometimes
3|_| Usually
4|_| Always
After AC5
Note: Use with AC5
AC7. … 1|_| Never
2|_| Sometimes
3|_| Usually
4|_| Always
After AC7
Note: Use with AC7
AC9. … 1|_| Never
2|_| Sometimes
3|_| Usually
4|_| Always If Always, go to core question 11
After AC8
AC10 … 1|_| Never
2|_| Sometimes
3|_| Usually
4|_| Always
After AC9
Note: Use with AC9
3/7/2016 Page 1
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/child-eng-cg30-2353a.pdf
August 01, 2015 - 1 Never
2 Sometimes
3 Usually
4 Always
9. … 1 Never
2 Sometimes
3 Usually
4 Always
10. … 1 Never
2 Sometimes
3 Usually
4 Always
14. … 1 Never
2 Sometimes
3 Usually
4 Always
16. … 1 Never
2 Sometimes
3 Usually
4 Always
18.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hp/Adult_Med_Eng_HP51_2152a.pdf
October 01, 2020 - 1 Never
2 Sometimes
3 Usually
4 Always
5. … 1 Never
2 Sometimes
3 Usually
4 Always
7. … 1 Never
2 Sometimes
3 Usually
4 Always
13. … 1 Never
2 Sometimes
3 Usually
4 Always
15. … 1 Never
2 Sometimes
3 Usually
4 Always
16.
-
www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-access-items-cg-survey30-adult.html
December 01, 2018 - 1 __ Never
2 __ Sometimes
3 __ Usually
4 __ Always
After AC3
Note: … 1 __ Never
2 __ Sometimes
3 __ Usually
4 __ Always
After AC5
Note: … 1 __ Never
2 __ Sometimes
3 __ Usually
4 __ Always
After AC7
Note: … 1 __ Never
2 __ Sometimes
3 __ Usually
4 __ Always → If Always, go to core … 1 __ Never
2 __ Sometimes
3 __ Usually
4 __ Always
After AC9
Note:
-
www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-access-items-cg-survey30-child.html
December 01, 2018 - 1 __ Never
2 __ Sometimes
3 __ Usually
4 __ Always
After AC3
Note: … 1 __ Never
2 __ Sometimes
3 __ Usually
4 __ Always
After AC5
Note: … 1 __ Never
2 __ Sometimes
3 __ Usually
4 __ Always
After AC7
Note: … 1 __ Never
2 __ Sometimes
3 __ Usually
4 __ Always → If Always, go to core … 1 __ Never
2 __ Sometimes
3 __ Usually
4 __ Always
After AC9
Note:
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/nh/nursing-home-family-eng-1652a.doc
September 01, 2011 - 1 FORMCHECKBOX
Never
2 FORMCHECKBOX
Sometimes
3 FORMCHECKBOX
Usually
4 FORMCHECKBOX
Always
12 … 1 FORMCHECKBOX
Never
2 FORMCHECKBOX
Sometimes
3 FORMCHECKBOX
Usually
4 FORMCHECKBOX
Always
13 … 1 FORMCHECKBOX
Never
2 FORMCHECKBOX
Sometimes
3 FORMCHECKBOX
Usually
4 FORMCHECKBOX
Always
14 … 1 FORMCHECKBOX
Never
2 FORMCHECKBOX
Sometimes
3 FORMCHECKBOX
Usually
4 FORMCHECKBOX
Always
15 … 1 FORMCHECKBOX
Never
2 FORMCHECKBOX
Sometimes
3 FORMCHECKBOX
Usually
4 FORMCHECKBOX
Always
23
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/literacy/supplemental-interpreter-hpcahps-adult_2157-4a.docx
June 02, 2025 - 1|_| Never If Never, go to P-IN5
2|_| Sometimes
3|_| Usually
4|_| Always
After P-IN1
Note: Use with … 1|_| Never
2|_| Sometimes
3|_| Usually
4|_| Always
After P-IN2
Note: Use with P-IN1 and P-IN2
P-IN4 … 1|_| Never If Never, go to core question 17
2|_| Sometimes
3|_| Usually
4|_| Always
After P-IN4
Note … 1|_| Never
2|_| Sometimes
3|_| Usually
4|_| Always
After P-IN8
Note: Use with P-IN7 and P-IN8
P-IN10 … 1|_| Never If Never, go to core question 27
2|_| Sometimes
3|_| Usually
4|_| Always
After P-IN10
Note
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hp/Child_Med_Eng_HP51_2155a.pdf
October 01, 2020 - 1 Never
2 Sometimes
3 Usually
4 Always
5. … 1 Never
2 Sometimes
3 Usually
4 Always
13. … 1 Never
2 Sometimes
3 Usually
4 Always
15. … 1 Never
2 Sometimes
3 Usually
4 Always
17. … 1 Never
2 Sometimes
3 Usually
4 Always
18.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/instructions/suppl-access_items_cg-cahps-child-survey_2358-1a.docx
June 02, 2025 - 1|_| Never
2|_| Sometimes
3|_| Usually
4|_| Always
After AC3
Note: Use with AC3
AC5. … 1|_| Never
2|_| Sometimes
3|_| Usually
4|_| Always
After AC5
Note: Use with AC5
AC7. … 1|_| Never
2|_| Sometimes
3|_| Usually
4|_| Always
After AC7
Note: Use with AC7
AC9. … 1|_| Never
2|_| Sometimes
3|_| Usually
4|_| Always If Always, go to core question 18
After AC8
AC10 … 1|_| Never
2|_| Sometimes
3|_| Usually
4|_| Always
After AC9
Note: Use with AC9
3/7/2016 Page 1
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/dental/dental-plan-adult-eng-751.pdf
February 10, 2009 - 1 Never
2 Sometimes
3 Usually
4 Always
7. … 1 Never
2 Sometimes
3 Usually
4 Always
8. … 1 Never
2 Sometimes
3 Usually
4 Always
10. … 1 Never
2 Sometimes
3 Usually
4 Always
12. … 1 Never
2 Sometimes
3 Usually
4 Always
13.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/american-indian/american-indian-eng-851.pdf
March 04, 2009 - 1 Never
2 Sometimes
3 Usually
4 Always
5. … 1 Never
2 Sometimes
3 Usually
4 Always
11. … 1 Never
2 Sometimes
3 Usually
4 Always
18. … 1 Never
2 Sometimes
3 Usually
4 Always
31. … 1 Never
2 Sometimes
3 Usually
4 Always
33.
-
www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ptoutcome-phone.html
March 01, 2025 - 1 ___ Never 2 ___ Sometimes 3 ___ Usually 4 ___ Always 7. … 1 ___ Never 2 ___ Sometimes 3 ___ Usually 4 ___ Always 8. … 1 ___ Never 2 ___ Sometimes 3 ___ Usually 4 ___ Always 9. … 1 ___ Never 2 ___ Sometimes 3 ___ Usually 4 ___ Always 10. … 1 ___ Never 2 ___ Sometimes 3 ___ Usually 4 ___ Always 11.