Suggestion Form · North Carolina Community Health Center Association

Electronic "Suggestion Box"

NCCHCA values your input and thanks you for sharing your ideas! All submissions are anonymous, unless you choose to provide your contact information for follow up. Internal setting have been created to ensure that NCCHCA does not have access to your personal information. Our goal is to create a platform where team members can feel comfortable and confident when making suggestions.

Please share your suggestion below. Be as detailed as possible.(Required)

I believe this suggestion will:(Required)

Improve Employee Engagement/Work/Office Environment

Improve Productivity/Quality ImprovementChoice

Improve Safety or Compliance

Improve Methods/Procedures

Achieve Better Communication

Description of concern this suggestion is intended to address:(Required)

Description of proposed solution:

The implementation of this suggestion will result in:

Remember, all submissions are anonymous. If you would like to be contacted to provide additional information, please provide your name and email address. Leave blank if you wish to remain anonymous.

Name

Email address

Today's date(Required)

We look forward to reviewing and discussing your suggestions! Thank you for your input and for helping make NCCHCA an Employer of Choice!

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Electronic "Suggestion Box"

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