Menu

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.

  English Spanish Simplified Chinese Traditional Chinese Korean
Protocols and Guidelines Manual          
MS Word Version (Manual w/ Appendices)
11/2/2022
       
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