CAHPS Surveys

9 Templates

CAHPS (Consumer Assessment of Healthcare Providers and Systems) surveys are used by healthcare organizations to gather feedback from patients at multiple levels of their health service system and advance the scientific understanding of patient experience. If you’re a medical provider, our free CAHPS Survey Templates will allow your patients to record and evaluate their experiences online. Select a CAHPS survey template below and embed it on your website or send it to patients after their visit to get feedback about their experience with your medical facility. Using their computer or mobile device, patients can enter their contact information, answer survey questions, and rate their interactions with staff on formal standards.

It is important to mention that none of the CAHPS templates are editable due to AHRQ policies. AHRQ allows making CAHPS surveys only in the condition of not making any changes to the questions and design. What JotForm offers from its form building capabilities is to store survey responses in your other online accounts, such as Google Drive or Dropbox automatically with 100+ free apps and integrations. You can also protect sensitive health data with our HIPAA compliance option, available with a plan upgrade, or for free as part of our Coronavirus Responder Program. With a CAHPS survey, you can work closely with the AHRQ (Agency for Healthcare Research and Quality) and get the feedback you need to improve the patient experience at your medical facility.

CAHPS® Clinician & Group Survey version 3.0 (Adult)

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Gather feedback from adult patients online. CAHPS® Clinician and Group Survey for healthcare providers. Add supplemental items from AHRQ. No coding required.

Healthcare Forms

CAHPS® Child Hospital Survey

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Ready-to-use CAHPS® survey for hospitals. Share with your patients’ parents to fill out on any device. Upgrade to protect data with HIPAA compliance.

Healthcare Forms

CAHPS® Cancer Care Radiation Therapy Survey

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Readymade online CAHPS® survey. Collect feedback from cancer patients receiving radiation therapy. Fill out on any device. Upgrade for HIPAA compliance.

Healthcare Forms

CAHPS® Cancer Care Surgery Survey

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Receive feedback from cancer surgery patients. Official CAHPS® Cancer Care Surgery Survey. Add supplemental items without coding. Fill out on any device.

Healthcare Forms

CAHPS® Cancer Care Drug Therapy Survey

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Ready-to-use CAHPS® survey. Gather feedback from cancer patients regarding their drug therapy treatments. Fill out on any device. Upgrade for HIPAA compliance.

Healthcare Forms

CAHPS® Clinician & Group Survey version 3.0 (Child)

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Readymade CAHPS® survey for healthcare providers. Easy to share and fill out on any device. Customize with supplemental items provided by AHRQ. No coding.

Healthcare Forms

CAHPS® Health Plan Survey Version Adult Medicaid Survey 5.0

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Get patient feedback about their current health plan. Free CAHPS® Health Plan Survey for medical organizations. Easy to share and fill out on any device. No coding.

Healthcare Forms

CAHPS® Health Plan Survey Version Child Medicaid Survey 5.0

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Get patient feedback about their current health plan. Free CAHPS® Health Plan Survey for medical organizations. Easy to share and fill out on any device. No coding.

Healthcare Forms

Disclaimer

Noth­ing on this site is intended to estab­lish a physician-patient rela­tion­ship, to replace the ser­vices of a trained physi­cian or health care pro­fes­sional, or oth­er­wise to be a sub­sti­tute for pro­fes­sional med­ical advice, diag­no­sis, or treatment.