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State of California—Health and Human Services Agency
California Department of Public Health

AFL 15-19
November 16, 2015

All Facilities

Post Survey Satisfaction Electronic Evaluation (e-Evaluation)

All Facilities Letter (AFL) Summary

This AFL is to notify all facilities that the California Department of Public Health (CDPH) is replacing the current Post Survey Satisfaction Evaluation form with an electronic evaluation via SurveyMonkey.

The Post Survey Satisfaction e-Evaluation replaces the current hard copy Post Survey Satisfaction Evaluations form (LC-Q1). CDPH encourages facilities to complete an evaluation, to help improve the survey process. Effective December 1, 2015, all Post Survey Satisfaction Evaluations must be submitted electronically.

The e-Evaluation can be found at the following link:

e-Evaluation Survey

Or at the Licensing and Certification, Health Care Facilities page, under "Facility Information".

If you have questions regarding this matter, please contact your local district office.



Original signed by Jean Iacino

Jean Iacino
Deputy Director

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