Qlarant Florida Provider Feedback Survey We are seeking your feedback on the Provider Discovery Review (PDR) Qlarant recently completed with your organization. Your input is very important to us. Thank you for participating. OK Question Title * 1. Type of Provider (choose one) Solo Agency OK Question Title * 2. APD Region/Area OK Question Title * 3. Month/Year of Review (MM/YYYY) OK Question Title * 4. Did the Quality Assurance Reviewer explain the review process? Yes No N/A OK Question Title * 5. Did the Quality Assurance Reviewer share with you the names of the potential people chosen to participate in the review? Yes No N/A OK Question Title * 6. Did the Quality Assurance Reviewer explain the person's participation in the interview is voluntary? Yes No N/A OK Question Title * 7. Did the Quality Assurance Reviewer refer you to the Qlarant website that includes the tools and procedures? Yes No N/A OK Question Title * 8. Were the tools accessible on the Qlarant website? Yes No N/A OK Question Title * 9. Did you find the tools helpful when preparing for the review? Yes No N/A OK Question Title * 10. Did the Quality Assurance Reviewer answer your questions in preparation for the review? Yes No N/A OK Question Title * 11. Did the Quality Assurance Reviewer arrive on time? Yes No N/A OK Question Title * 12. If not, were you notified the Quality Assurance Reviewer would be late? Yes No N/A OK Question Title * 13. Did the Quality Assurance Reviewer give you enough time to find the information requested? Yes No N/A OK Question Title * 14. Do you feel the Quality Assurance Reviewer was prepared for the review? Yes No N/A OK Question Title * 15. Did the review process go as explained by the Quality Assurance Reviewer? Yes No N/A OK Question Title * 16. Did the Quality Assurance Reviewer answer the questions you had during the review? Yes No N/A OK Question Title * 17. If applicable, did the Quality Assurance Reviewer explain why a standard was Not Met? Yes No N/A OK Question Title * 18. If an alert was identified, did the Quality Assurance Reviewer inform you of the follow up process? (Score N/A if no alerts were identified) Yes No N/A OK Question Title * 19. Did the Quality Assurance Reviewer provide you with the preliminary findings of your review before leaving? Yes No N/A OK Question Title * 20. Comment: What did you like best about the Provider Discovery Review? What would you like to see changed? OK Question Title * 21. Would you like a manager to contact you? If so, please include your name and contact information. OK DONE