10-10172 Watson's Caritas Patient Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCA, VBA, VHA)

Watson's Caritas Patient Survey OMB 120415

CBO-Veterans Point of Service; PACT Intensive Management Evaluation; Watson Caritas Patient Score

OMB: 2900-0770

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 2900-0770 can be found here:

2023-10-05 - Revision of a currently approved collection
2020-09-29 - Revision of a currently approved collection

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DIRECTIONS: When answering the questions, please consider the overall consistency of human-to-human CARE you have received during this hospital stay. Please circle the number for the one best answer.

We invite you to share any notable caring or uncaring moments you experienced during this hospital stay.

Thank you for completing our questionnaire!

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	Rochon, Renada M.
File Modified	0000-00-00
File Created	2021-01-27