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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15504210/12/2016FORM
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To fill out a survey for dates September 15-16, follow these steps:
02
Open the survey link provided.
03
Read the instructions and survey questions carefully.
04
Select the date September 15 from the dropdown menu for the survey start date.
05
Select the date September 16 from the dropdown menu for the survey end date.
06
Fill out all the required fields and answer the survey questions.
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Double-check your responses for accuracy.
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Click on the submit button to finish filling out the survey.
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Once submitted, you have successfully completed the survey for dates September 15-16.

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Anyone who needs to provide their feedback or input for events or activities taking place on September 15-16 can fill out the survey for those dates. This might include attendees, participants, organizers, or stakeholders who are involved or interested in the events during this period.
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September 15-16, 2021
All individuals or businesses who received the survey notification from the designated authority.
The survey can be filled out online through the designated website provided in the notification.
The purpose is to gather relevant data for statistical analysis and research purposes.
Information such as income, expenses, demographics, and other relevant data requested in the survey questionnaire.
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