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PRINTED: 08/04/2022 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.

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How to fill out complaint and follow-up survey

01

Start by providing your contact information and details of the complaint.

02

Clearly explain the issue you are facing and provide specific examples if possible.

03

Offer any suggestions or solutions you may have to resolve the complaint.

04

Submit the complaint to the appropriate department or individual as per the instructions.

05

Follow up on the complaint if necessary and provide any additional information requested.

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Businesses that want to improve their customer service.

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What is complaint and follow-up survey?

Complaint and follow-up survey is a process for reporting and tracking issues or concerns related to a product or service.

Who is required to file complaint and follow-up survey?

Anyone who has experienced a problem or issue with a product or service may file a complaint and follow-up survey.

How to fill out complaint and follow-up survey?

To fill out a complaint and follow-up survey, one must provide details about the issue experienced and any actions taken to resolve it.

What is the purpose of complaint and follow-up survey?

The purpose of complaint and follow-up survey is to gather feedback on customer satisfaction and improve the quality of products or services.

What information must be reported on complaint and follow-up survey?

Information such as the nature of the complaint, date of occurrence, and steps taken to address the issue must be reported on a complaint and follow-up survey.

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