Site Visit Evaluation

Form Approved OMB No. 0920-1027 Expiration Date 06/30/2026
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Site Visit Evaluation
Recently, a Laboratory Consultant from the Centers for Disease Control and Prevention, Division of Tuberculosis Elimination,
Laboratory Branch, Laboratory Capacity Team conducted a TB laboratory site visit with your public health laboratory. The
Laboratory Capacity Team would like to invite you to provide feedback on this recent laboratory site visit to enhance future site
visits.
Please complete the survey below. Thank you!

Which type of site visit did your laboratory recently
participate in?

In-person
Virtual

This was the first TB laboratory site visit I
participated in.

Agree
Disagree

Leading up to the site visit, I prepared by reviewing
the following information and/or meeting with:
(Check all that apply)

Cooperative Agreement workload volume and
turnaround time performance data
Technical Acceptability Reports (TARs)
Notes/agendas from previous site visits
Previous site visit reports and recommendations
TB Laboratory Aggregate Report
Mycobacteriology laboratory staff or Microbiology
leadership
Public Health Laboratory Director
Other

Please specify other ways you prepared for the site
visit:

__________________________________________

The length of the recent TB laboratory site visit
was...

Too long
Too short
Adequate

The Laboratory Consultant provided helpful suggestions
and recommendations based on discussions and/or
observations during the site visit.

Agree
Disagree

Reviewing our laboratory's progress allowed
discussions to take place that informed or validated
current processes, procedures, or algorithms.

Agree
Disagree
Indifferent/no response

Questions that were asked of the Laboratory Consultant
were either answered informatively or the Laboratory
Consultant offered follow-up.

Agree
Disagree

During the site visit, meeting with the TB Control
Program and the Laboratory Consultant was worthwhile.

Agree
Disagree
Indifferent/no response
We did not have an opportunity to spend time with
the TB Control Program

Resources provided during the site visit were
informative.

Agree
Disagree
Indifferent/no response
I did not receive additional resources

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Resources provided following the virtual site visit
were informative.

Agree
Disagree
Indifferent/no response
I did not receive additional resources

Overall, the site visit was beneficial to our
laboratory.

Agree
Disagree
Indifferent/no response

Additional information and/or resources that I would
have appreciated during the site visit were:

Agenda items or topics that were not discussed during
the site visit that could be beneficial and included
in the future are:

__________________________________________

__________________________________________

The site visit may be improved by:
__________________________________________
Please provide any additional feedback or comments
about the site visit.

Please provide the name of the state/local public
health laboratory you are affiliated with.

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__________________________________________

__________________________________

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