If you recently responded to a questionnaire and have received another, it is likely that we did not receive or process your response before the next questionnaire in the cycle was automatically mailed out. TPRS sends out three questionnaires on a 30 day cycle. If you responded to a questionnaire several months ago and have continued treatment, it is possible that a new questionnaire was produced due to those additional claims. TPRS tries its best to avoid sending duplicate questionnaires for the same treatment. If you believe you have received a duplicate questionnaire, please contact us to verify that we received your previous response.