Reader Survey Template

We are conducting this reader survey to learn more about the professionals who read our publication. The results will be used to enhance the content and format.
Instructions: Fill in the appropriate answers. Please write in answers to the open-ended questions in the
space provided.

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* 1. Please fill in all the areas for which you are responsible for risk management in your facility or system.

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* 2. In future issues of HRM, would you like to see more or less coverage of the following topics?

  More Coverage About the same Less coverage
patient confidentiality/privacy
malpractice
compliance
sentinel event reporting
patient safety
informed consent
root-cause analysis
patient restraints
accreditation issues/audits
medical errors
patient falls

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* 3. Do you find the Legal Review & Commentary insert in HRM helpful?

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* 4. Including HRM, which publication or information source do you find most useful, and why?

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* 5. Do you plan to renew your subscription to HRM?

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* 6. Are the articles in HRM written about issues of importance and concern to you?

  Always Most of the time Some of the time Rarely Never
Please choose one

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* 7. How would you describe your satisfaction with your subscription to Healthcare Risk Management newsletter?

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* 9. Please indicate all of the activities for which you have primary management responsibility.

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* 10. Which area at your facility triggered the most incident reports in 2014?

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* 11. Please rate your level of satisfaction with the following items.

  Excellent Good Fair Poor
Overall value
Length of newsletter
Quality of newsletter
Article selections
Customer service
Timeliness

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* 12. On average, how many people read your copy of HRM?

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* 13. What is the bed size of your facility/system?

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* 14. On average, how many articles in HRM do you find useful?

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* 15. What do you like most about HRM newsletter?

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* 16. What do you like least about HRM newsletter?

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* 17. Please list the top three challenges you face in your job today.

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* 18. What issues would you like to see addressed in HRM newsletter?

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* 19. How can we best reach you to follow up? (Optional)

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