Please read each statement carefully and select the option that best matches your experience. The first and second questions must be completed in order to complete rest of the survey. 

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* 1. The date of the SIS assessment:

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* 3. When contacted for scheduling the SIS assessment, I was treated with respect.

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* 4. The evaluator completing the SIS explained the assessment process to me.

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* 5. The SIS evaluator answered questions asked by the participants during the assessment.

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* 6. The SIS evaluator treated everyone with respect during the assessment.

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* 7. My questions regarding the SIS were answered during the scheduling call.

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* 8. I was provided a date and time for the SIS evaluation that worked with my schedule.

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* 9. I received a reminder call for the SIS evaluation appointment.

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* 10. I was provided information from the SIS evaluator about how I would receive a copy of the SIS report.

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* 11. I received the completed SIS report within 45 days of the assessment date.

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* 12. I was given information about who to contact if I had questions about the completed SIS report.

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* 13. I called with a question about the completed SIS report and I received a return call within 3 days.

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* 14. Please select your relationship/role with the person who had a SIS assessment completed:

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* 15. Your feedback helps us to improve.  Please provide any additional comments/suggestions here and return to Alliance:

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