External Quality Assessment Questionnaire Form
External Quality Assessment Questionnaire
Organization or Site Name
*
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assessor Role/Type
*
Please Select
Internal Auditor
External Consultant
Peer Reviewer
Accreditation Body Representative
Other
Assessment Scope/Category
*
Please Select
Process Quality
Service Delivery
Compliance
Customer Experience
Operational Efficiency
Other
Overall Quality Rating
*
1
2
3
4
5
Please rate the following quality dimensions
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Processes are clearly defined and followed
1
2
3
4
5
Staff demonstrate required competencies
6
7
8
9
10
Resources are adequate for quality delivery
11
12
13
14
15
Continuous improvement is evident
16
17
18
19
20
Customer needs are appropriately addressed
21
22
23
24
25
Strengths Observed
Opportunities for Improvement
Overall Comments or Recommendations
Submit Assessment
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