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Survey Materials
The PCF PEC Survey materials available below were used for data collection in 2024.
2024 Materials - Word
2024 Materials - PDF
2024 Materials - Excel
Quality Assurance Guidelines and Resource Documents
QAG Word (QAG without appendices)
10/18/2024
N/A
N/A
QAG PDF (QAG with appendices)
N/A
10/18/2024
N/A
PCF PECS Interviewer Monitoring Form
N/A
9/22/2021
N/A
PCF PECS Implementation Timeline
N/A
12/7/2023
N/A
Patient Communication Materials
Generic Poster - Small
N/A
3/8/2021
N/A
Generic Poster - Large
N/A
3/8/2021
N/A
Customizable Poster - Small
N/A
8/11/2021
N/A
Customizable Poster - Large
N/A
8/11/2021
N/A
Patient FAQs - Generic
N/A
12/7/2023
N/A
Patient FAQs - Customizable
12/7/2023
N/A
N/A
Questionnaire Files
Questionnaire - English
1/10/2022
12/20/2021
N/A
Questionnaire - Spanish
1/10/2022
12/20/2021
N/A
Mailing Materials
Teaser Postcard
12/7/2023
N/A
N/A
First Mailing Envelope
N/A
12/7/2023
N/A
Facility Mailing Envelope –
1st and 2nd mailing
N/A
12/7/2023
N/A
First Survey Cover Letter
12/7/2023
N/A
N/A
Thank You / Reminder Postcard
12/7/2023
N/A
N/A
Second Survey Mailing Envelope
N/A
12/7/2023
N/A
Second Survey Cover Letter
12/7/2023
N/A
N/A
Help Desk and Telephone Follow-up Materials
Help Desk FAQs - English
12/7/2023
12/7/2023
N/A
Help Desk FAQs - Spanish
12/7/2023
12/7/2023
N/A
Telephone Interviewer Guidelines
12/19/2023
12/19/2023
N/A
CATI FAQs - English
12/7/2023
12/7/2023
N/A
CATI FAQs - Spanish
12/7/2023
12/7/2023
N/A
Telephone Script - English
12/7/2023
N/A
N/A
Telephone Script - Spanish
12/7/2023
N/A
N/A
Patient Roster Materials
Patient Survey Roster User Guide
N/A
6/28/2024
N/A
Patient Survey Roster Template
N/A
N/A
6/28/2024
Patient Survey Roster Example
N/A
N/A
6/28/2024