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PRINTED: 07/05/2024
FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES
CENTERS FOR MEDICARE & MEDICAID SERVICES
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA
IDENTIFICATION
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How to fill out an onsite follow-up survey

How to fill out an onsite follow-up survey
01
Ensure you have a copy of the survey on hand at the onsite location.
02
Provide clear instructions on how to fill out the survey to the participants.
03
Allow participants enough time to complete the survey before leaving the onsite location.
04
Collect the completed surveys and make sure all necessary information is filled out.
05
Compile and analyze the survey data for insights and action items.
Who needs an onsite follow-up survey?
01
Organizations or businesses looking to gather feedback from participants or customers who have attended an onsite event or location.
02
Researchers conducting studies at a specific location and needing feedback from participants on their experience.
03
Event planners wanting to assess the success of an onsite event and gather feedback for future improvements.
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What is an onsite follow-up survey?
An onsite follow-up survey is a tool used to gather feedback from customers or clients after a visit or service has been provided in person.
Who is required to file an onsite follow-up survey?
Businesses or organizations that provide services in person and want to gather feedback from customers or clients may be required to file an onsite follow-up survey.
How to fill out an onsite follow-up survey?
To fill out an onsite follow-up survey, the respondent typically answers a series of questions about their experience, satisfaction, and any suggestions for improvement.
What is the purpose of an onsite follow-up survey?
The purpose of an onsite follow-up survey is to gather feedback, assess customer satisfaction, and identify areas for improvement in services provided in person.
What information must be reported on an onsite follow-up survey?
An onsite follow-up survey may include questions about the quality of service, satisfaction levels, ease of communication, and overall experience with the service provider.
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