Facility/Primary Care Provider Satisfactory Survey

The North Dakota Newborn Screening Program is requesting completion of this survey. Information collected will be used to help us improve services and processes for newborn screening. Thank you for your time; your input is valued and appreciated.

How satisfied are you with each of the following

1. Explanation of abnormal newborn screening results.


2. Timeliness of notification of abnormal newborn screening results.


3. Method of receiving abnormal newborn screening results.


4. Information contained in the newborn screen report.


5. Results interpretation of newborn screen report is clear.


6. Further recommendations are clear.


7. Follow-up staff provided useful referrals and resources.


8. Ease of contacting newborn screening follow-up staff.

Comments:

Facility Name