Exit Accreditation Readiness Initial Questions Thank you for your interest in Accreditation Guru! This pre-assessment is used to gather basic information about your agency to ensure that the correct survey is emailed to you. Once submitted, a unique link to the full assessment will be sent to the email provided (within 48 hours). Please contact us at info@accreditationguru.com with any questions. Question Title * 1. Your name Question Title * 2. Organization Question Title * 3. Website URL Question Title * 4. Job title Question Title * 5. Email address Question Title * 6. Phone number Question Title * 7. In what state(s) is your facility located? Question Title * 8. What accreditation does your organization hold or want to earn? CARF International Council on Accreditation (COA) Joint Commission (JCAHO) Accreditation Commission for Healthcare (ACHC) Higher Education Accreditation Continuing Education/Training Accreditation Not sure Other (please specify): Question Title * 9. Is your organization currently accredited? Yes No Question Title * 10. Programs/services to be (re)accredited: Question Title * 11. Is your organization under a mandate to become accredited? Yes No If yes, by what date is accreditation required? Question Title * 12. If mandated, what authority is mandating accreditation? State Private insurance Medicaid Other N/A If other, what authority? Question Title * 13. What are your top concerns in going through the accreditation process? (check all that apply) The time needed to dedicate to the project. Finding the right staff members to be on the team. Don’t know a lot about the process The project cost Other (please specify) Question Title * 14. What would you like Accreditation Guru to help you with most throughout the process? Question Title * 15. How did you hear about us? Speaking Engagement Webinar Conference Internet Search Newsletter Social Media Referral Other (please specify) Done
