Below are sample notification materials. The administrator notification letter is an example of the letter that facilities received from DHS via mail and email. Vital has also provided sample resident and family notification letters as well as a facility reminder poster that you can use to let your residents and their families/representatives know that the surveys will be taking place soon. Feel free to update the sample documents as needed.

• Administrator Notification Letter
• Resident Notification Letter
• Sample Family Notification Letter (from facility)
• Sample Facility Reminder Poster

The file below documents how the MN QOL and Family Satisfaction Survey process aligns with HIPAA and confidentiality standards.

• HIPAA

Below is an example of the letter that will be mailed by Vital Research that will contain the login credentials for the online family survey.

• Cover Letter

Blank copies of the resident and family surveys are available below; these surveys are just for reference and cannot be printed from this website and mailed. Resident surveys are completed in person with a Vital Research interviewer, and family members will be mailed a letter with a unique survey login

• Resident Survey
• Family Survey

• Infectious Disease Policies & Procedures

• Sampling Table