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pdfCustomer Satisfaction Survey
Thank you for participating in the DoD Hearing Center of Excellence Customer Satisfaction Survey.
Your feedback is very important to us and will be used to improve the HCE and the services that it
provides.
AGENCY DISCLOSURE NOTICE
The public reporting burden for this collection of information, OMB # 0704-0553 (expiration date
3/31/2022), is estimated to average 3 minutes per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments regarding the burden
estimate or burden reduction suggestions to the Department of Defense, Washington Headquarters
Services, at [email protected]. Respondents should be
aware that notwithstanding any other provision of law, no person shall be subject to any penalty for
failing to comply with a collection of information if it does not display a currently valid OMB control
number.
Customer Satisfaction Survey
1. How likely is it that you would recommend products or services provided by the DoD Hearing Center of
Excellence to a friend or colleague?
NOT AT ALL LIKELY
0
1
EXTREMELY LIKELY
2
3
4
5
6
7
8
9
2. Overall, how satisfied or dissatisfied are you with the DoD Hearing Center of Excellence?
Very satisfied
Somewhat dissatisfied
Somewhat satisfied
Very dissatisfied
Neither satisfied nor dissatisfied
3. Which of the following words would you use to describe our services? Select all that apply.
Reliable
Unreliable
High quality
Poor quality
Effective
Ineffective
Useful
Impractical
4. How responsive have we been to your questions or requests for assistance?
Extremely responsive
Not so responsive
Very responsive
Not at all responsive
Somewhat responsive
Not applicable
10
5. What is your primary affiliation?
Department of Defense
Department of Veterans Affairs
Academia
Industry
Other (please specify)
6. How long have you been a customer of the DoD Hearing Center of Excellence?
Less than six months
Six months to a year
1 - 2 years
3 or more years
7. How would you rate the quality of the following services:
I have not used
this service/I am
not familiar with
this service
Very High
Quality
High Quality
Neither High nor
Low Quality
Low Quality
Very Low Quality
Annual Collaborative
Auditory Vestibular
Research Network
(CAVRN) Meeting
Research Consultation
and Staff Support
Research Collaborations
Working Group
Leadership and
Participation
Enterprise Clinical
Audiology Application
(ECAA)
Joint Hearing Loss and
Auditory System Injury
Registry (JHASIR)
Dissemination and
Support for Clinical Best
Practices (e.g., Hearing,
Tinnitus, and Clinical
Coding)
Continuing Education
Support (i.e.,
AudiologyOnline, Air
Force MAW, Navy
SOAP, Army PH Course)
Vestibular Training
Courses and Support
Services
Comprehensive Hearing
Health Program (CHHP)
Evaluated Products List
(EPL)
Fit-Testing
8. Are there any gaps in the services or products that we provide? Are there any areas where we are not
meeting your organization's needs?
9. Do you have any other comments, concerns, or suggestions for improvement?
File Type | application/pdf |
File Title | View Survey |
File Modified | 2020-05-20 |
File Created | 2020-05-20 |