| Survey: | 
		VHA Outpatient Survey 2018 | 
		
	
		| IA#: | 
		20805 A0 | 
		
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		| Date: | 
		10/11/2018 | 
		
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		| SURVEY TYPE:  | 
		Relationship (Tab 4) | 
		
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		| Survey Q# | 
		Type# | 
		Type Topic | 
	
	
		| Intro | 
		Custom | 
		Introduction | 
	
	
		| Q1 | 
		5 | 
		Product/Information/Service Provided | 
	
	
		| Q2 | 
		Custom | 
		Respondent Background/Experience | 
	
	
		| Q3 | 
		5 | 
		Product/Information/Service Provided | 
	
	
		| Q4 | 
		2 | 
		Customer Service | 
	
	
		| Q5 | 
		2 | 
		Customer Service | 
	
	
		| Q6 | 
		2 | 
		Customer Service | 
	
	
		| Q7 | 
		2 | 
		Customer Service | 
	
	
		| Q10 | 
		5 | 
		Product/Information/Service Provided | 
	
	
		| Q11 | 
		7 | 
		Satisfaction (ACSI Index) | 
	
	
		| Q12 | 
		7 | 
		Satisfaction (ACSI Index) | 
	
	
		| Q13 | 
		7 | 
		Satisfaction (ACSI Index) | 
	
	
		| Q14 | 
		Custom | 
		Complaint Handling | 
	
	
		| Q14c | 
		6 | 
		Complaint Handling | 
	
	
		| Q14d | 
		6 | 
		Complaint Handling | 
	
	
		| Q15 | 
		8 | 
		Future Behaviors | 
	
	
		| Q16 | 
		8 | 
		Future Behaviors | 
	
	
		| Q17 | 
		Custom | 
		Respondent Background/Experience | 
	
	
		| Q18 | 
		Custom | 
		Respondent Background/Experience | 
	
	
		| Q20 | 
		Custom | 
		Respondent Background/Experience | 
	
	
		| QD1 | 
		Custom | 
		Demographics | 
	
	
		| QD2 | 
		Custom | 
		Demographics | 
	
	
		| QD3 | 
		Custom | 
		Demographics | 
	
	
		| QD4 | 
		Custom | 
		Demographics | 
	
	
		| QD5 | 
		Custom | 
		Demographics | 
	
	
		| QD6 | 
		Custom | 
		Demographics |