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Healthcare CAHPS® 12-Month v2.0 Adult Survey Template

Every smart hospital that cares for their patients’ satisfaction with the care received by them works hard on understanding their patients’ needs. It is done by asking them for their feedback, opinions, and ideas throughout their healthcare experience.

The CAHPS® 12-month v2.0 adult survey asks your adult patients to give feedback on their experiences with your clinic or hospital, both the doctor they see and the office staff they interacted with over the last 12 months.

This amazing survey template will help you, as a hospital, clinic, or caregiver, to find the bottlenecks in your healthcare process and see where your hospital’s strengths and weaknesses are. By understanding where you need to improve, you can increase the overall patient satisfaction and help your hospital become even more attractive to care seekers.

Never forget that the ‘patient care’ starts at the entrance of your hospital, and never ends. Make sure to deliver quality all the way throughout your healthcare chain.

You can, of course, customize the CAHPS® 12-month v2.0 adult survey template according to your needs and add questions that are specific to the patients of your hospital. Register now for free and start creating your first beautiful and powerful CAHPS® 12-month adult survey.

 

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Understand What Matters Most to Your Patients

In today’s patient-first healthcare world, understanding how your patients feel about their care experience is no longer optional — it’s essential. From the moment someone walks into your hospital to their follow-up appointment months later, every touchpoint matters. That’s why thousands of forward-thinking hospitals, clinics, and private practices are using CAHPS® surveys to measure and improve patient satisfaction.

With the CAHPS® 12-Month v2.0 Adult Survey Template, you gain access to a professional, research-backed framework for capturing detailed patient feedback over a 12-month period. This tool is not only essential for compliance and accreditation, but also for building a culture of empathy, trust, and high-quality care.

What Is the CAHPS® 12-Month v2.0 Adult Survey?

The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey is a standardized questionnaire developed by the Agency for Healthcare Research and Quality (AHRQ). The 12-month v2.0 adult version asks adult patients to evaluate their experiences over the past year — including:

  • The quality of communication with doctors and specialists
  • How respectfully they were treated by medical and office staff
  • Access to care and scheduling ease
  • Follow-up care and understanding of health information
  • Overall satisfaction with their healthcare provider

This version is designed specifically for ambulatory care settings, such as primary care clinics and outpatient departments.

Why Use This Survey Template?

  • Discover What Patients Really Think: The CAHPS® survey helps you identify real pain points and strengths from the patient’s perspective, enabling you to make informed improvements.
  • Measure Long-Term Patient Satisfaction: Unlike one-time surveys, this version captures experiences over a full year, offering insight into the consistency of your care.
  • Improve Quality of Care: Identify gaps in communication, coordination, or service delivery — and resolve them with data-driven decisions.
  • Support Accreditation and Compliance: The CAHPS® format helps meet requirements set by Medicare, Medicaid, and other regulatory bodies.
  • Build Trust and Reputation: Organizations that listen to patient feedback build loyalty and distinguish themselves in the healthcare space.

Who Should Use This Template?

This CAHPS® 12-Month v2.0 Adult Survey Template is ideal for:

  • Primary care practices
  • Outpatient clinics
  • Multispecialty healthcare centers
  • Integrated health systems
  • Community hospitals
  • Private physician groups

Key Topics Covered in the Survey

  • Doctor Communication: Listening, clarity, responsiveness
  • Staff Courtesy and Helpfulness: Respect and professionalism
  • Appointment Scheduling and Access: Ease of booking and waiting times
  • Follow-Up and Coordination: Test results, continuity of care
  • Health Education: Empowerment, shared decision-making

Fully Customizable to Your Needs

With SurveyLegend, this template is entirely flexible. You can:

  • Add, edit, or remove questions
  • Translate for different languages
  • Apply your hospital’s branding
  • Enable anonymous responses

No technical skills are required — it’s easy to use and quick to launch.

Turn Insights Into Action

SurveyLegend gives you real-time analytics and visual dashboards so you can:

  • Track performance across teams and locations
  • Export results to spreadsheets or reports
  • Share insights with administrators or board members
  • Make patient-centered improvements with confidence

Feedback That Drives Real Change

Patient care doesn’t begin and end with a doctor’s visit. Every part of the journey — from your front desk to post-treatment follow-ups — matters. With this survey template, you can capture meaningful feedback across the full continuum of care and ensure your healthcare organization is always improving.

Start Collecting Patient Feedback Today

With our CAHPS® 12-Month v2.0 Adult Survey Template, you can start building a more responsive, patient-focused culture now. It’s easy to get started and completely free.

Register now and begin creating your first CAHPS®-compliant patient satisfaction survey today.

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