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* 1. Company Name

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* 2. Contact Name

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* 3. Email Address

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* 4. How many locations does your organization have that require a survey under current law?

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* 5. How many locations does your organization have that would require a survey under the Proposed Rule?

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* 6. How long (hours) does it take your organization to prepare for a survey for a single facility under current law?

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* 7. How many employees do you have dedicated to surveys?

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* 8. How many total employee hours are required during a single location survey?

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* 9. How many hours does it take for an accreditation organization to currently survey a single location in your organization?

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* 10. How much does it cost (in dollars) your organization for a single location to be surveyed?

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* 11. How many employees do you anticipate having to hire to meet the proposed requirements if they are finalized?

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* 12. If your organization has estimated the overall cost of the proposed survey requirements, what is it?

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