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* 1. I work at:

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* 2. We experience issues system timeouts and loss of information while completing PAF forms. (If Yes, please explain)

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* 3. The CSI Number not matching is an issue for me or my organization.

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* 4. The error message for CSI number not matching causes confusion for me or my staff.

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* 5. We experience issues identifying if a Partner already exists in the system when starting a PAF. (If Yes, please explain.)

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* 6. Not being able to change the Partner's birthday or name fields causes issues for me or my staff.

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* 7. We have issues with the "Who referred the partner?" question. (If Yes, please explain why.)

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* 8. We have issues with the "Provider Number / NPI" question. (If, Yes, please explain why.)

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* 9. We have issues with the "Full Service Partnership Program ID" question. (If Yes, please explain why.)

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* 10. We have issues with the "Partnership Service Coordinator ID" question. (If Yes, please explain why.)

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* 11. We have issues with the "Program Information" questions. (If Yes, please explain why.)

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* 12. We have issues because the residential settings are not well defined or do not cover all possible options. (If Yes, please explain.)

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* 13. The Residential Settings from the "Prior to the last 12 months" are not accurate or useful. (If Yes, please explain.)

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* 14. We experience issues with the Education section of questions. (If Yes, please explain.)

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* 15. We experience issues with the Current Employment section of questions. (If Yes, please explain)

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* 16. We experience issues with the Employment During the Past 12 Months section of questions. (If Yes, please explain.)

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* 17. We experience issues with the Financial Support section of questions. (If Yes, please explain)

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* 18. We experience issues with the Legal Issues / Designations section of questions. (If Yes, please explain)

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* 19. We experience issues with the Health Status section of questions. (If Yes, please explain)

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* 20. We experience issues with the Emergency Intervention section of questions? (If Yes, please explain)

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* 21. We experience issues with the Substance Abuse section of questions? (If Yes, please explain)

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* 22. We experience issues with the County Use Questions section of questions. (If Yes, please explain)

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* 23. A change in formatting and layout of the forms would improve our ability to capture data. (If Yes, please explain)

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* 24. As an XML batch submission County, we have issues submitting PAF forms to the DCR. (If Yes, please explain.)

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* 25. We have other thoughts about how data quality could be improved related to the PAF Form. Please explain.

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* 26. We have issues with an inability to correct information on the PAF form once it is saved. (If Yes, please explain.)

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* 27. We believe that some of the questions are not useful and should be removed from the PAF form. (If Yes, please note specifically which questions for which age groups should be removed, in your opinion.)

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