Demographic Information

FACT welcomes feedback from all personnel who have participated in their organization's inspection process. Evaluations are confidential, are not reviewed by the Accreditation Committee, and have no impact on accreditation outcome. Identifying information is requested for quality assurance activities.

This survey has four pages:
1. Demographic Information
2. Preparation for Inspection
3. Inspection Team
4. Post-Inspection

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* 1. Organization Name

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* 2. Organization Director

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* 3. Indicate first day of Inspection 

Date

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* 4. Please check each facility that you represent.

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* 5. How many Cord Blood Collection Sites were inspected? Enter N/A if your organization is not a Cord Blood Bank.

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