ACP Engagement Survey Downloads

If you have not already completed the ACP Engagement Survey Form, do so before downloading surveys.

Use the tables below to explore and download surveys.

For Patients

Language	Version	PI's & Contact	Validation Studies	Download
English and Spanish	4 item 9 item 15 item 34 item 55 item 82 item	Rebecca Sudore prepareforyourcare@gmail.com	https://pubmed.ncbi.nlm.nih.gov/24039772/ https://pubmed.ncbi.nlm.nih.gov/27338877/ https://pubmed.ncbi.nlm.nih.gov/28042072/ https://pubmed.ncbi.nlm.nih.gov/31539605/	PDF
Traditional Chinese - Taiwanese Context	4 item	Ping-Chen Jen pingjen.chen@gmail.com	https://pubmed.ncbi.nlm.nih.gov/34787527/	PDF
Chinese - Mandarin	9 item	Li Liu lilyll@link.cuhk.edu.hk	https://aims.cuhk.edu.hk/converis/portal/detail/Publication/179484641?lang=en_GB	PDF
Chinese - Mandarin	34 item	Li Jiayin 80218151@qq.com	https://pubmed.ncbi.nlm.nih.gov/36083228/	PDF
Chinese - Mandarin	55 item	Li Liu lilyll@link.cuhk.edu.hk	https://pubmed.ncbi.nlm.nih.gov/32574659/	PDF
Dutch	4 item 9 item 15 item 34 item 55 item 82 item	Doris van der Smissen d.vandersmissen@erasmusmc.nl	https://pubmed.ncbi.nlm.nih.gov/34563115/	PDF
Italian	4 item	Alessandra Solari Alessandra.Solari@istituto-besta.it	https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0282960	PDF
Korean	Nonstandard 12 item	Minhyun Park mvc90@catholic.ac.kr	https://spcare.bmj.com/content/13/Suppl_4/A17.2	PDF

For Surrogates

For instructions on how to measure, please refer to this Lauren Van Scoy article.

Language	Version	PI's & Contact	Validation Studies	Download
English	17 item	Lauren Jodi Van Scoy lvanscoy@pennstatehealth.psu.edu	https://pubmed.ncbi.nlm.nih.gov/30684633/	PDF
Cantonese	17 item	Cheryl Yeung Chi Yan cyyeung@link.cuhk.edu.hk cyyeung@cuhk.edu.hk	https://aims.cuhk.edu.hk/converis/portal/detail/Publication/408744522?auxfun=&lang=zh_HK	PDF

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