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PBMS Technical Assistance Feedback Survey

Thank you for your Feedback

ASCA staff recently provided technical assistance for you regarding the Performance Based Measures System. To improve our process and ensure our assistance is useful and prompt, we need your feedback. Please answer these brief questions and provide suggestions for how we might better assist you. Thank you.
1.Month TA was provided?(Required.)
Month
Month TA was Provided
2.Year Technical Assistance was Provided?
Year
Year
3.Please rate the information or assistance that you received?
1 - Poor
2
3
4
5 - Excellent
Prompt
Useful
Quality of Service
4.Was your question(s) answered or problem(s) resolved?
5.Any suggestions on how we could improve our PBMS technical assistance process?
6.May we contact you to discuss any of the answers you have provided?
Thank you for your participation in PBMS and this technical assistance survey.
Please click done to submit the survey.