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Compliance Feedback Form
Compliance Feedback Survey for Q3 2021
Date
MM slash DD slash YYYY
Name
*
You don't have to worry, this is strictly confidential. 🤫
First
Last
Email
*
Please fill in the form
Don't miss out on anyone!
Communication
*
Please rate the following members on their overall communication skills this past business quarter. (communication with external counterparts, communication within the office/etc) 1-10, with 10 being the highest/best.
Choose "N/A" if you did not work with the credentialer this quarter.
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✰2
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✰10
N/A
Veneeka Norris
Nicole Martinez
Alea Yaeger
Cassidy Gutierrez
Miguel Rocha
Jack Greuel
Jessica Reyna
Tim Rogers
Comments: Communication
*
Anything else you'd like to add?
Speed
*
Please rate the following members on their overall speed this past quarter. (getting things done quickly, and responding quickly to matters of importance) 1-10, with 10 being the highest/best.
Choose "N/A" if you did not work with the credentialer this quarter.
✰1
✰2
✰3
✰4
✰5
✰6
✰7
✰8
✰9
✰10
N/A
Veneeka Norris
Nicole Martinez
Alea Yaeger
Cassidy Gutierrez
Miguel Rocha
Jack Greuel
Jessica Reyna
Tim Rogers
Comments: Speed
*
Anything else you'd like to add?
Accuracy
*
Please rate the following members on their accuracy and precision this past quarter(being comprehensive, thorough, accurate, and avoiding mistake) 1-10, with 10 being the highest/best.
Choose "N/A" if you did not work with the credentialer this quarter.
✰1
✰2
✰3
✰4
✰5
✰6
✰7
✰8
✰9
✰10
N/A
Veneeka Norris
Nicole Martinez
Alea Yaeger
Cassidy Gutierrez
Miguel Rocha
Jack Greuel
Jessica Reyna
Tim Rogers
Comments: Accuracy
*
Anything else you'd like to add?
Customer Service
*
Please rate the following members on their customer service skills and overall teamwork this past quarter 1-10, with 10 being the highest/best.
Choose "N/A" if you did not work with the credentialer this quarter.
✰1
✰2
✰3
✰4
✰5
✰6
✰7
✰8
✰9
✰10
N/A
Veneeka Norris
Nicole Martinez
Alea Yaeger
Cassidy Gutierrez
Miguel Rocha
Jack Greuel
Jessica Reyna
Tim Rogers
Comments: Customer Service
*
Anything else you'd like to add?
Going the Extra Mile
*
Please rate the following members on the intangible of going above and beyond, to make sure the job gets done and gets done right. 1-10, with 10 being the highest/best.
Choose "N/A" if you did not work with the credentialer this quarter.
✰1
✰2
✰3
✰4
✰5
✰6
✰7
✰8
✰9
✰10
N/A
Veneeka Norris
Nicole Martinez
Alea Yaeger
Cassidy Gutierrez
Miguel Rocha
Jack Greuel
Jessica Reyna
Tim Rogers
Comments: Going the Extra Mile
*
Anything else you'd like to add?
Improvement
*
How strongly do you feel that the compliance team has improved over the last several months? 1-10
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✰10
Confidence
*
Do you feel confident that the compliance team will effectively get the candidates cleared, and cleared on time? 1-10
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✰10
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