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Hello:
You are invited to participate in our initiative questionnaire. In this questionnaire, five specific questions are asked which will enable us to understand the problem and document it. It will take approximately 10 minutes to complete the questionnaire.

Your participation in this questionnaire is valued as it is very important for us to learn your opinions and issues.

Your responses will be strictly confidential and information will be reported only if deemed non-confidential. If you have questions at any time about the questionnaire or the procedures, you may contact the CSI - IM Coordinator at [email protected].

Once the questions are completed, please return template to [email protected]

Thank you very much for your time.

 
 
 
* What is the problem?
 
 
 
 
* How is fixing this issue going to help?
 
 
 
 
Do you have the skills and / or tools to fix it?
 
 
 
 
Do you have the time and permission(s) to fix it?
 
 
 
 
* What would happen if we didn't change anything?
 
 
Return template to [email protected] Thank you