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Current Survey Materials

View Previous Survey Materials (through 2021)

 

The OAS CAHPS Survey materials available below took effect for the patient records beginning in January 2022.

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Protocols and Guidelines Manual          
PDF Version (Manual w/ Appendices)
1/31/2023
       
MS Word Version (Manual w/ Appendices)
1/31/2023
       
Questionnaire          
Mail Questionnaire
12/15/2021

12/15/2021

12/15/2021

12/15/2021

12/15/2021
Alternative instructions for
scannable questionnaires

6/8/2016

11/5/2019

12/15/2021

12/15/2021

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

11/3/2021

8/16/2021

8/16/2021
 
Web Questionnaire (PDF versions)
6/8/2022

6/8/2022

6/8/2022

6/8/2022
 
Web Questionnaire (MS Word versions)
6/8/2022

6/8/2022

6/8/2022

6/8/2022
 
Consent to Share Identifying
Information Question

7/22/2021

7/22/2021

8/3/2021

8/3/2021

3/29/2017
OMB Disclosure Notice
12/15/2021

12/15/2021

12/15/2021

12/15/2021

12/15/2021
XML File Layouts          
Standard Header Record
11/2/2022
       
DSRS Header Record
11/2/2022
       
Zero Sampled Patient File
8/3/2021
       
Example Patient File Layout
7/22/2021
       
FAQs for Interviewers
8/2/2022

8/2/2022

8/2/2022

8/2/2022
 
Sample Letters          
Cover Letter for Mail-Only Mode,
1st mailing

11/3/2021

11/3/2021

1/14/2022

1/14/2022

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

11/3/2021

11/3/2021

1/14/2022

1/14/2022

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

11/3/2021

12/15/2021

12/15/2021
 
Initial Web Survey Invitation Email
11/3/2021

11/3/2021

12/15/2021

12/15/2021
 
Web Survey Reminder Letter
(Day 14 contact)

11/3/2021

11/3/2021

12/15/2021

12/15/2021
 
Web Survey Reminder Email
(Days 14 and 35 contacts)

11/3/2021

11/3/2021

12/15/2021

12/15/2021
 
Cover Letter for Questionnaire Mailing,
Web with Mail Mode

11/3/2021

11/3/2021

12/15/2021

12/15/2021
 
(OPTIONAL) Prenotification for
Telephone Only Mode

11/3/2021

11/3/2021

10/6/2021

10/6/2021