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Record of Grantee Meetings
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Resources

Assessment Materials, Forms & Instruments

Summary

Diabetes Group Visit Customer Feedback Form (PDF)

This one-page assessment tool is designed to be used by self management program patients to gather participant feedback and overall program satisfaction. It was created specifically for groups visits at the author site, but can be tailored to other types of interventions.

Author site: St. Peter Family Medicine Residency I 2003

Related Links

  • For other tools related to general program administration: Click here
  • For more assessment tools: Go back

The Diabetes Initiative was a national program of the Robert Wood Johnson Foundation from 2002 to 2009.
Archived in 2009, this site is a repository for information and resources gathered over the course of the Initiative.
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