Followup Web Survey Invitation Letter

SAMPLE LEAD LETTER FOR FOLLOW-UP WEB SURVEY INVITATION MAILINGS
Outpatient and Ambulatory Surgery CAHPS Survey
To be Printed on Ambulatory Surgery Center or Hospital Outpatient Department or Vendor
Letterhead
«FirstName» «LastName»
«Address1» «Address2»
«City_Name», «State_Code» «Zip_Zip4»
Dear «FirstName» «LastName»:
We recently sent you a request for your help with a survey about your recent outpatient surgery
or procedure at [FACILITY]. [FACILITY] would like to learn more about the quality of health
care that their patients receive. If you have already taken the survey, please accept our thanks and
disregard this letter. Otherwise, we hope that you will take a few minutes to provide your
feedback.
To begin the survey, you may type the website link provided below into the URL search bar at
the top of your web browser. You will be prompted to enter an access code (provided below) to
ensure privacy.
Survey: [WEB SURVEY URL]
Access Code: [UNIQUE ACCESS CODE]
Taking part in the survey is voluntary and will not affect any health care benefits you receive. All
answers you provide will be confidential and are protected by a federal law called the Privacy
Act.
If you have questions, please call toll-free 1-8XX-XXX-XXXX or send an email to [VENDOR
EMAIL ADDRESS]. If you need help with reading the questions or marking your answers, you
may ask a friend or family member to help you. Si tiene preguntas o desea recibir la versión de
la encuesta en español, por favor llame al 1-8XX-XXX-XXXX o envíe un correo electrónico a
[VENDOR EMAIL ADDRESS].
Thank you for your help.
Sincerely,
[NAME]
[TITLE]

[PRINT UNIQUE SAMPLE ID NUMBER HERE]