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Current Survey Materials (for 2021)

View Planned Survey Materials (for 2022)

 

The OAS CAHPS Survey materials available below were approved in the Final Rule for calendar year 2021.

 

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Protocols and Guidelines Manual
PDF Version (Manual w/ Appendices) 3/22/2021
MS Word Version (Manual w/ Appendices) 11/3/2020
Questionnaire
Mail Questionnaire 11/5/2019 2/10/2020 11/5/2019 11/3/2020 11/5/2019
Alternative instructions for
scannable questionnaires
6/8/2016 11/5/2019 6/8/2016 6/8/2016 3/29/2017
CATI questionnaire 11/9/2017 12/10/2019
Consent to Share
Identifying Information Question
for mail and telephone
11/9/2017 11/9/2017 11/11/2016 11/11/2016 3/29/2017
OMB Disclosure Notice 11/5/2019 11/5/2019 11/5/2019 11/5/2019 11/5/2019
XML File Layouts
Standard Header Record 11/3/2020
DSRS Header Record 11/3/2020
Zero Sampled Patient File 11/5/2019
Example Patient File Layout 11/3/2020
FAQs for Interviewers 11/3/2020 11/3/2020
Sample Letters
Sample Letter 1st mailing 1/11/2017 11/9/2017 12/21/2015 12/21/2015 11/9/2017
Sample Letter 2nd mailing 3/29/2017 3/29/2017 12/15/2017 12/15/2017 11/9/2017