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* 1. The organization’s Advisory Committee is sufficiently active in carrying out its assigned responsibilities on behalf of the organization.

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* 2. The role of the organization’s Advisory Committee is well defined.

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* 3. As a member of the Advisory Committee, we receive information such as management or quality improvement reports that supports our designated role on behalf of the organization.

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* 4. The work of the organization’s Advisory Committee extends the capability of the organization.

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* 5. Upon joining the organization’s Advisory Committee, I received an orientation that addressed Advisory Committee membership responsibilities and roles.

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* 6. Advisory Committee members have unique knowledge and skills which complement the knowledge and skills of the organization.

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* 7. The Advisory Committee's recommendations to the organization contribute to organizational effectiveness.

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* 8. As a member of the Advisory Committee, I feel my participation contributes to quality of care and/or organizational capacity improvements.

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* 9. The organization’s reputation with the community is favorable.

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* 10. The organization collaborates with the community regarding issues of mutual concern.

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* 11. The organization’s Advisory Committee is representative of the community it serves and/or the needs of persons served.

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* 12. To your knowledge, within the last four years, has the organization had any allegations or findings of professional misconduct?

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* 13. Within the last four years, has the organization had any allegations or findings of financial malfeasance?

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* 14. Has the organization failed to comply with laws and regulations governing equal opportunity and workforce administration?

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* 15. Has the organization had any investigations by a regulatory or other monitoring body, which identified significant problems at the organization?

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