Survey Questionnaires

All questionnaires are available both in Adobe Acrobat format .pdf and Microsoft Excel format .xls

NOTE: Save worksheets to your computer before entering any data.

2010 Physician Salary & Benefits Questionnaire

The final deadline for data submission is February 12, 2010.
Effective date of data is January 2010.
The Report will be published in April.

HCS is not currently collecting data on this survey. 
Please view the Calendar for questionnaire and publication dates.

2010-2011 NACHC Health Center Salary & Benefits Questionnaire

The final deadline for data submission is March 1, 2010.
Effective date of data is January 2010.
The Report will be published in May.

HCS is not currently collecting data on this survey. 
Please view the Calendar for questionnaire and publication dates.

2010-2011 CCRC Salary & Benefits Questionnaire

The deadline for data submission is April 9, 2010.
Effective date of data is March 2010.
The Report will be published in June.

HCS is not currently collecting data on this survey. 
Please view the Calendar for questionnaire and publication dates.

2010-2011 Nursing Home Salary & Benefits Questionnaire

The deadline for data submission is May 7, 2010.
Effective date of data is March 2010.
The Report will be published in July.

HCS is not currently collecting data on this survey. 
Please view the Calendar for questionnaire and publication dates.

2010-2011 Hospital Salary & Benefits Questionnaire

The deadline for data submission is June 11, 2010.
Effective date of data is May 2010.
The Report will be published in August.

HCS is not currently collecting data on this survey. 
Please view the Calendar for questionnaire and publication dates.

2010-2011 Rehabilitation Salary & Benefits Questionnaire

The final deadline for data submission is July 23, 2010.  
The Report will be published in September.

Individual Facility Participant Forms (XLS)
Individual Facility Participant Forms (PDF)
Multi-Facility Participant Forms (XLS)

2010-2011 HOMECARE Salary & Benefits Questionnaire

The final deadline for data submission is August 3, 2009.  
The Report will be published in October.

Individual Facility Participant Forms (XLS)
Individual Facility Participant Forms (PDF)
Multi-Facility Participant Forms (XLS)

2010-2011 Hospice Salary & Benefits Questionnaire

The final deadline for data submission is August 3, 2009.  
The Report will be published in November.

Individual Facility Participant Forms (XLS)
Individual Facility Participant Forms (PDF)
Multi-Facility Participant Forms (XLS)

2009-2010 Private Duty Salary & Benefits Questionnaire

The final deadline for data submission is October 30, 2009.  
The Report will be published in December.

HCS is not currently collecting data on this survey. 
Please view the Calendar for questionnaire and publication dates.

2009-2010 Multi-Facility Corporate Compensation Questionnaire

(Covers Hospital, Long Term Care, and Home Health)
The final deadline for data submission is December 4, 2009.
The Report will be published in January.

HCS is not currently collecting data on this survey. 
Please view the Calendar for questionnaire and publication dates.

2009-2010 Assisted Living Salary & Benefits Questionnaire

The final deadline for data submission is November 20, 2009.
The effective date of data is October 2009.
The Report is published in January.

HCS is not currently collecting data on this survey. 
Please view the Calendar for questionnaire and publication dates.