Menu

Planned Survey Materials for 2022

View Current Survey Materials (for 2021)

 

The OAS CAHPS Survey materials available below will be take effect starting with January 2022. Implementation of web modes is dependent on approval in the calendar year 2022 Final Rule.

  English Spanish Simplified Chinese Traditional Chinese Korean
Protocols and Guidelines Manual          
PDF Version (Manual w/ Appendices)
11/16/2021
       
MS Word Version (Manual w/ Appendices)
11/3/2021
       
Questionnaire          
Mail Questionnaire
7/23/2021

10/6/2021

10/13/2021

10/13/2021

7/22/2021
Alternative instructions for
scannable questionnaires

6/8/2016

11/5/2019
   
3/29/2017
CATI questionnaire
11/3/2021

11/3/2021

8/16/2021

8/16/2021
 
Web Questionnaire (PDF versions)
11/3/2021

11/3/2021

8/16/2021

8/16/2021
 
Web Questionnaire (MS Word versions)
11/3/2021

11/3/2021

8/16/2021

8/16/2021
 
Consent to Share Identifying
Information Question

7/22/2021

7/22/2021

8/3/2021

8/3/2021

3/29/2017
OMB Disclosure Notice
10/20/2021

10/20/2021

10/20/2021

10/20/2021

10/20/2021
XML File Layouts          
Standard Header Record
8/3/2021
       
DSRS Header Record
8/3/2021
       
Zero Sampled Patient File
8/3/2021
       
Example Patient File Layout
7/22/2021
       
FAQs for Interviewers
10/15/2021

9/15/2021

12/2/2021

12/2/2021
 
Sample Letters          
Cover Letter for Mail-Only Mode,
1st mailing

11/3/2021

11/3/2021

8/3/2021

8/3/2021

11/3/2021
Cover Letter for Mail-Only Mode,
2nd mailing

11/3/2021

11/3/2021

8/3/2021

8/3/2021

11/3/2021
Initial Web Survey Invitation Letter
11/3/2021

11/3/2021
     
Initial Web Survey Invitation Email
11/3/2021

11/3/2021
     
Web Survey Reminder Letter
(Day 14 contact)

11/3/2021

11/3/2021
     
Web Survey Reminder Email
(Days 14 and 35 contacts)

11/3/2021

11/3/2021
     
Cover Letter for Questionnaire Mailing,
Web with Mail Mode

11/3/2021

11/3/2021
     
(OPTIONAL) Prenotification for
Telephone Only Mode

11/3/2021

11/3/2021

10/6/2021

10/6/2021