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Fall 2007 Clinical Site Evaluation

Instructions

Answer questions as they relate to you. For most answers, check the boxes most applicable to you or fill in the blanks.

survey questions


1.

Uintah Care Center

Excellent

Good

Poor-Please explain in the space below


2.

Uintah Care Center-Please Explain


3.

Uintah Basin Care and Rehab

Excellent

Good

Poor-Please explain in the space below


4.

Uintah Basin Care and Rehab-Please Explain


5.

Applegate

Excellent

Good

Poor-Please explain in the space below


6.

Applegate-Please Explain


7.

UBMC-PT

Excellent

Good

Poor-Please explain in the space below


8.

UBMC-PT-Please Explain


9.

Dialysis

Excellent

Good

Poor-Please explain in the space below


10.

Dialysis-Please Explain


11.

UBMC-RT

Excellent

Good

Poor-Please explain in the space below


12.

UBMC-RT-Please Explain


13.

UBMC-LAB

Excellent

Good

Poor-Please explain in the space below


14.

UBMC-LAB- Please Explain


15.

UBMC-X-RAY

Excellent

Good

Poor-Please explain in the space below


16.

UBMC-X-RAY-Please Explain


17.

AVMC-PT

Excellent

Good

Poor-Please explain in the space below


18.

AVMC-PT-Please Explain


19.

AVMC-RT

Excellent

Good

Poor-Please explain in the space below


20.

AVMC-RT-Please Explain


21.

AVMC-LAB

Excellent

Good

Poor-Please explain in the space below


22.

AVMC-LAB-Please Explain


23.

AVMC-X-RAY

Excellent

Good

Poor-Please explain in the space below


24.

AVMC-X-RAY-Please Explain

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