Regional Quality Council Orientation

Regional Quality Council Orientation Survey Questions

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* 1. Please enter your first and last name

Name

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* 2. Please select the area of the state you will be representing as an RQC member.

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* 3. Please enter the most accurate response below:

I have completed the orientation process and understand who to contact if I have additional questions.

I have completed the orientation process and would like my Quality Improvement Specialist to contact me regarding additional questions.

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* 4. Please use the space below to indicate any specific information you may need to participate in the Regional Quality Council meetings.

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* 5. Please use the space below to indicate any accommodations you may need to participate in the Regional Quality Council meetings. The assigned Quality Improvement Specialist will contact you if more information is needed.

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* 6. Please use this space for any feedback about the orientation presentation or materials.