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ACP Engagement Survey

ACP Engagement Survey

The ACP Engagement survey is validated, easy-to-use, and can be used to measure the effect of ACP interventions.

The survey is available in two versions:

  1. A survey for patients
  2. A survey for surrogates

Each version is available in multiple languages. Use the tables below to explore and download surveys.

For Patients

Language Version PI's & Contact Validation Studies Download the Survey
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/dil/Publication/17984641?lng=en_GB PDF
Chinese - Mandarin 34 item Li Jiayin
80218151@qq.com
https:/pubmedncbi.nlm.nih.gov/36083228/ PDF
Chinese - Mandarin 55 item Li Liu
lilyll@link.cuhk.edu.hk
https://pubmedncbi.nlm.nih.gov/32574659/ PDF
Dutch 4 item
15 item
34 item
55 item
82 item
Doris van der Smissen
d.vandersmissen@erasmusmc.nl
https://pubmed.ncbi.nm.nih.gov/34563115/ PDF
Italian 4 item Alessandra Solari
Alessandra.Solari@istituto-besta.it
https//journals.plos.org/plosone/artice?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 the Survey
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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