PER Quality Assurance Survey!

Employee Name:

Employee ID:

1. Did the PER (Patient Experienced Representative) provided proper greeting?

Yes No

2. Was the PER attentive/responsive?

Yes No

3. Was the call placed properly on hold?

Yes No

4. Did the PER inquired about the provider/facility name?

Yes No

5. Did the PER understood the concern/issue at hand?

Yes No

6. Did the PER interrupt while the caller was speaking?

Yes No

7. Did the PER provided the resolution?

Yes No

8. Did the PER used any offensive/slang words?

Yes No

9. Did the PER properly ended the call?

Yes No

10. Did the PER inquired if the patient has additional questions?

Yes No