JRC-DMS Site Visit Questionnaire Survey

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* 8. Program Concentration:

Abdominal-Extended

Breast

Adult Cardiac

Musculoskeletal

Obstetrics & Gynecology

Pediatric Cardiac

Vascular

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* 9. Site Visit Date (MM/DD/YYYY):

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* 10. Delivery of Site Visit:

On-Site

Virtual

Please take the time to complete the site visit questionnaire so that the JRC-DMS can monitor and improve its processes. Your feedback is important to us. Check the number which best describes your response to each statement below. The numbers correspond to the following values:

5 - Excellent 4 - Good 3 - Satisfactory 2 - Fair 1 - Poor

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* 11. Arrangements of the Site Visit:

	5	4	3	2	1
Overall site visit arrangements by the JRC-DMS	Overall site visit arrangements by the JRC-DMS 5	Overall site visit arrangements by the JRC-DMS 4	Overall site visit arrangements by the JRC-DMS 3	Overall site visit arrangements by the JRC-DMS 2	Overall site visit arrangements by the JRC-DMS 1
Availability of the JRC-DMS to assist the program in preparing for the site visit	Availability of the JRC-DMS to assist the program in preparing for the site visit 5	Availability of the JRC-DMS to assist the program in preparing for the site visit 4	Availability of the JRC-DMS to assist the program in preparing for the site visit 3	Availability of the JRC-DMS to assist the program in preparing for the site visit 2	Availability of the JRC-DMS to assist the program in preparing for the site visit 1
Communication of the JRC-DMS with the program before the visit	Communication of the JRC-DMS with the program before the visit 5	Communication of the JRC-DMS with the program before the visit 4	Communication of the JRC-DMS with the program before the visit 3	Communication of the JRC-DMS with the program before the visit 2	Communication of the JRC-DMS with the program before the visit 1

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* 12. Comments Regarding Arrangements of the Site Visit:

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* 13. The time that elapsed between the submission of the self-study report and the site visit:

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* 14. The number of site visit team members was:

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* 15. Performance of Site Visit Team:

	5	4	3	2	1
Site visitors’ attitude while conducting the site visit	Site visitors’ attitude while conducting the site visit 5	Site visitors’ attitude while conducting the site visit 4	Site visitors’ attitude while conducting the site visit 3	Site visitors’ attitude while conducting the site visit 2	Site visitors’ attitude while conducting the site visit 1
Site visitors’ competence as surveyors/evaluators	Site visitors’ competence as surveyors/evaluators 5	Site visitors’ competence as surveyors/evaluators 4	Site visitors’ competence as surveyors/evaluators 3	Site visitors’ competence as surveyors/evaluators 2	Site visitors’ competence as surveyors/evaluators 1
Site visitors’ knowledge of the program through their pre-visit review of the self-study documents	Site visitors’ knowledge of the program through their pre-visit review of the self-study documents 5	Site visitors’ knowledge of the program through their pre-visit review of the self-study documents 4	Site visitors’ knowledge of the program through their pre-visit review of the self-study documents 3	Site visitors’ knowledge of the program through their pre-visit review of the self-study documents 2	Site visitors’ knowledge of the program through their pre-visit review of the self-study documents 1
Site visitors’ objectivity in interpreting and applying the Standards to the program	Site visitors’ objectivity in interpreting and applying the Standards to the program 5	Site visitors’ objectivity in interpreting and applying the Standards to the program 4	Site visitors’ objectivity in interpreting and applying the Standards to the program 3	Site visitors’ objectivity in interpreting and applying the Standards to the program 2	Site visitors’ objectivity in interpreting and applying the Standards to the program 1
Site visitors’ interaction with program faculty and personnel during the visit	Site visitors’ interaction with program faculty and personnel during the visit 5	Site visitors’ interaction with program faculty and personnel during the visit 4	Site visitors’ interaction with program faculty and personnel during the visit 3	Site visitors’ interaction with program faculty and personnel during the visit 2	Site visitors’ interaction with program faculty and personnel during the visit 1
Site visitors’ interaction with students during the site visit	Site visitors’ interaction with students during the site visit 5	Site visitors’ interaction with students during the site visit 4	Site visitors’ interaction with students during the site visit 3	Site visitors’ interaction with students during the site visit 2	Site visitors’ interaction with students during the site visit 1
Site visitors’ conduct of the exit summation	Site visitors’ conduct of the exit summation 5	Site visitors’ conduct of the exit summation 4	Site visitors’ conduct of the exit summation 3	Site visitors’ conduct of the exit summation 2	Site visitors’ conduct of the exit summation 1
Clarity of the report of findings during the exit summation	Clarity of the report of findings during the exit summation 5	Clarity of the report of findings during the exit summation 4	Clarity of the report of findings during the exit summation 3	Clarity of the report of findings during the exit summation 2	Clarity of the report of findings during the exit summation 1

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* 16. Comments Regarding Performance of Site Visit Team:

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* 17. Accreditation Process (In its value to the program, rate these aspects of the accreditation review process)

	5	4	3	2	1
Self-study process	Self-study process 5	Self-study process 4	Self-study process 3	Self-study process 2	Self-study process 1
Self-study report	Self-study report 5	Self-study report 4	Self-study report 3	Self-study report 2	Self-study report 1
Site visit	Site visit 5	Site visit 4	Site visit 3	Site visit 2	Site visit 1

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* 1. Name:

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* 2. Title:

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* 3. Phone Number:

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* 4. Today's Date (MM/DD/YYYY):

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* 5. Program Name:

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* 6. City:

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* 7. State:

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* 8. Program Concentration:

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* 9. Site Visit Date (MM/DD/YYYY):

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* 10. Delivery of Site Visit:

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* 11. Arrangements of the Site Visit:

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* 12. Comments Regarding Arrangements of the Site Visit:

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* 13. The time that elapsed between the submission of the self-study report and the site visit:

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* 14. The number of site visit team members was:

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* 15. Performance of Site Visit Team:

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* 16. Comments Regarding Performance of Site Visit Team:

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* 17. Accreditation Process (In its value to the program, rate these aspects of the accreditation review process)

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* 18. Comments Regarding the Accreditation Process:

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* 19. Rate the effectiveness of the overall CAAHEP accreditation system:

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* 20. You are invited to share ideas for improving the accreditation process: