Menu

Previous Survey Materials

View Current 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