Please answer each question "Y" or "N" in each text box.
If the question does not apply to your facility, please answer "N/A".
If a question requires a written answer, please provide a brief reply in the text box.
If you wish to add details, you may include these in the text box as well.
The "TAB" key may be used to advance to the next question.
The survey should take about 10-12 minutes to complete.
Thank you for your participation.