PREF Survey Process Feedback Form .pdf

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Original filename: PREF Survey Process Feedback Form.pdf
Author: Nisha

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PREF Survey Process Feedback Form
The aim of this form is to receive improvement feedback on survey completion process. During the week of March 26, 2018
please complete five feedback forms, one at the end of each day. It is preferred that one of the chosen days is on a weekend.
After the first week, try to complete one Feedback Form every other week, until June 30, 2018. Please provide your
feedback on the key process segments, identified below:

Identifying a specific family member and gaining acceptance for survey completion
What worked well?
What were the
challenges?
Improvement Ideas?

On-boarding process
What worked well?
What were the
challenges?
Improvement Ideas?

Survey workflows
What worked well?
What were the
challenges?
Improvement Ideas?

Actual survey completion experience, including technical, and privacy issues
What worked well?
What were the
challenges?
Improvement Ideas?
Thank you for your feedback!

The survey is also available online at
https://www.surveymonkey.com/r/PREFPilot


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