The purpose of this article is to describe an adaptation and validation process of Hileman’s (1990) « Home Caregiver Needs Survey (HCNS) ». This English-language questionnaire was created specifically to identify the needs of American home caregivers. Since we were concerned with the needs and expectations of caregivers involved in palliative care in both hospital and home environments, and in a francophone minority cultural context, the HCNS questionnaire had to be adapted and validated. We will describe the methods used for the translation, linguistic adaptation and adaptation to research questions. We will also present the process of validation by 29 palliative care experts. In conclusion, two measurement tools emerged from this process, namely one tool to measure needs and expectations for home care and one measurement tool for the hospital setting.