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International Accreditation of Healthcare Facilities

Standards › Standard 2E › Forms

Form · WRK-FRM-004 · Version 1.0 · Approved by the ASF Expert Committee

Supports: 2E.6

Purpose

Template for the annual staff feedback survey. Anonymous. Results are reported for groups of 5 or more.

How to complete

Checks

Check Entry
I feel safe to raise a concern at work Scale 1 to 5
I have the training I need Scale 1 to 5
My working hours and rest are fair Scale 1 to 5
I am treated with respect by colleagues and managers Scale 1 to 5
I would recommend this place to work Scale 1 to 5
One thing that would make the biggest difference Free text

Evidence

Reference Note
E-009 ASF Expert Committee consensus. Questions to be piloted.

Change history

Version Date What changed Approval
1.0 the date of approval First version set Expert Committee approval

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References

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