Division of Public Health, Licensure Unit, Survey/Inspection Facility Evaluation Form
Time is important and so are your comments and suggestions. Please take this opportunity to tell us how we did on your most recent survey/inspection. The Nebraska Department of Health and Human Services (DHHS), Division of Public Health, asks your assistance in helping us evaluate and improve our survey/inspection process. Your comments and suggestions are a vital part of our ongoing evaluation and improvement efforts.
To ensure confidentiality, the identity of the facility completing the survey is not disclosed to the survey/investigation team. If you choose to identify yourself and the facility for which you work, it will provide the Division of Public Health and/or Licensure Unit with an opportunity to seek your additional comments and suggestions about improving our process. Either way, your ratings and comments will be kept confidential.
We appreciate your candid responses and the opportunity to work with you on our shared goals of quality health services.