{"id":3477,"date":"2018-04-19T15:35:24","date_gmt":"2018-04-19T15:35:24","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/immunization\/?page_id=3477"},"modified":"2018-06-01T14:50:42","modified_gmt":"2018-06-01T14:50:42","slug":"viishdsurvey","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/immunization\/viishdsurvey\/","title":{"rendered":"VIIS Help Desk Survey"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_12' style='display:none'>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">VIIS HD Survey<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_12'  action='\/immunization\/wp-json\/wp\/v2\/pages\/3477' data-formid='12' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_12' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_12_1\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_1'>1.  Select the VIIS Help Desk Analyst who assisted you:<\/label><div class='ginput_container ginput_container_select'><select name='input_1' id='input_12_1' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected'>Select One...<\/option><option value='Maryanne Neddenien' >Maryanne Neddenien<\/option><option value='Serenity Rowland' >Serenity Rowland<\/option><option value='Do not remember' >Do not remember<\/option><\/select><\/div><\/li><li id=\"field_12_12\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >2.  What was the reason for contacting the VIIS Help Desk?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_12'>\n\t\t\t<li class='gchoice gchoice_12_12_0'>\n\t\t\t\t<input name='input_12' type='radio' value='Data Exchange'  id='choice_12_12_0'    \/>\n\t\t\t\t<label for='choice_12_12_0' id='label_12_12_0' class='gform-field-label gform-field-label--type-inline'>Data Exchange<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_12_1'>\n\t\t\t\t<input name='input_12' type='radio' value='Password Reset'  id='choice_12_12_1'    \/>\n\t\t\t\t<label for='choice_12_12_1' id='label_12_12_1' class='gform-field-label gform-field-label--type-inline'>Password Reset<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_12_2'>\n\t\t\t\t<input name='input_12' type='radio' value='VIIS Access'  id='choice_12_12_2'    \/>\n\t\t\t\t<label for='choice_12_12_2' id='label_12_12_2' class='gform-field-label gform-field-label--type-inline'>VIIS Access<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_12_3'>\n\t\t\t\t<input name='input_12' type='radio' value='VIIS Training'  id='choice_12_12_3'    \/>\n\t\t\t\t<label for='choice_12_12_3' id='label_12_12_3' class='gform-field-label gform-field-label--type-inline'>VIIS Training<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_12_4'>\n\t\t\t\t<input name='input_12' type='radio' value='VIIS Performance Issues'  id='choice_12_12_4'    \/>\n\t\t\t\t<label for='choice_12_12_4' id='label_12_12_4' class='gform-field-label gform-field-label--type-inline'>VIIS Performance Issues<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_12_5'>\n\t\t\t\t<input name='input_12' type='radio' value='gf_other_choice'  id='choice_12_12_5'   onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_12_12_other' name='input_12_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_4\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >3.  How long was your call with the Help Desk Analyst?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_4'>\n\t\t\t<li class='gchoice gchoice_12_4_0'>\n\t\t\t\t<input name='input_4' type='radio' value='Less than 5 minutes'  id='choice_12_4_0'    \/>\n\t\t\t\t<label for='choice_12_4_0' id='label_12_4_0' class='gform-field-label gform-field-label--type-inline'>Less than 5 minutes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_4_1'>\n\t\t\t\t<input name='input_4' type='radio' value='5 minutes to less than 10 minutes'  id='choice_12_4_1'    \/>\n\t\t\t\t<label for='choice_12_4_1' id='label_12_4_1' class='gform-field-label gform-field-label--type-inline'>5 minutes to less than 10 minutes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_4_2'>\n\t\t\t\t<input name='input_4' type='radio' value='10 minutes to less than 20 minutes'  id='choice_12_4_2'    \/>\n\t\t\t\t<label for='choice_12_4_2' id='label_12_4_2' class='gform-field-label gform-field-label--type-inline'>10 minutes to less than 20 minutes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_4_3'>\n\t\t\t\t<input name='input_4' type='radio' value='20 minutes to less than 30 minutes'  id='choice_12_4_3'    \/>\n\t\t\t\t<label for='choice_12_4_3' id='label_12_4_3' class='gform-field-label gform-field-label--type-inline'>20 minutes to less than 30 minutes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_4_4'>\n\t\t\t\t<input name='input_4' type='radio' value='30 minutes or more'  id='choice_12_4_4'    \/>\n\t\t\t\t<label for='choice_12_4_4' id='label_12_4_4' class='gform-field-label gform-field-label--type-inline'>30 minutes or more<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_13\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >4.  How many times did you contact the Help Desk before your problem was resolved?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_13'>\n\t\t\t<li class='gchoice gchoice_12_13_0'>\n\t\t\t\t<input name='input_13' type='radio' value='Once'  id='choice_12_13_0'    \/>\n\t\t\t\t<label for='choice_12_13_0' id='label_12_13_0' class='gform-field-label gform-field-label--type-inline'>Once<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_13_1'>\n\t\t\t\t<input name='input_13' type='radio' value='Twice'  id='choice_12_13_1'    \/>\n\t\t\t\t<label for='choice_12_13_1' id='label_12_13_1' class='gform-field-label gform-field-label--type-inline'>Twice<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_13_2'>\n\t\t\t\t<input name='input_13' type='radio' value='Three times'  id='choice_12_13_2'    \/>\n\t\t\t\t<label for='choice_12_13_2' id='label_12_13_2' class='gform-field-label gform-field-label--type-inline'>Three times<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_13_3'>\n\t\t\t\t<input name='input_13' type='radio' value='More than three times'  id='choice_12_13_3'    \/>\n\t\t\t\t<label for='choice_12_13_3' id='label_12_13_3' class='gform-field-label gform-field-label--type-inline'>More than three times<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_13_4'>\n\t\t\t\t<input name='input_13' type='radio' value='Problem is still unresolved'  id='choice_12_13_4'    \/>\n\t\t\t\t<label for='choice_12_13_4' id='label_12_13_4' class='gform-field-label gform-field-label--type-inline'>Problem is still unresolved<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_3\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >5.  How well did the VIIS Help Desk Analyst understand the reason for your call?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_3'>\n\t\t\t<li class='gchoice gchoice_12_3_0'>\n\t\t\t\t<input name='input_3' type='radio' value='4'  id='choice_12_3_0'    \/>\n\t\t\t\t<label for='choice_12_3_0' id='label_12_3_0' class='gform-field-label gform-field-label--type-inline'>Extremely Well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_3_1'>\n\t\t\t\t<input name='input_3' type='radio' value='3'  id='choice_12_3_1'    \/>\n\t\t\t\t<label for='choice_12_3_1' id='label_12_3_1' class='gform-field-label gform-field-label--type-inline'>Very Well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_3_2'>\n\t\t\t\t<input name='input_3' type='radio' value='2'  id='choice_12_3_2'    \/>\n\t\t\t\t<label for='choice_12_3_2' id='label_12_3_2' class='gform-field-label gform-field-label--type-inline'>Somewhat understood<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_3_3'>\n\t\t\t\t<input name='input_3' type='radio' value='1'  id='choice_12_3_3'    \/>\n\t\t\t\t<label for='choice_12_3_3' id='label_12_3_3' class='gform-field-label gform-field-label--type-inline'>Did not understand<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_5\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >6.  Overall, how would you rate the quality of your customer service experience?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_5'>\n\t\t\t<li class='gchoice gchoice_12_5_0'>\n\t\t\t\t<input name='input_5' type='radio' value='Extremely Satisfied'  id='choice_12_5_0'    \/>\n\t\t\t\t<label for='choice_12_5_0' id='label_12_5_0' class='gform-field-label gform-field-label--type-inline'>Extremely Satisfied<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_5_1'>\n\t\t\t\t<input name='input_5' type='radio' value='Quite Satisfied'  id='choice_12_5_1'    \/>\n\t\t\t\t<label for='choice_12_5_1' id='label_12_5_1' class='gform-field-label gform-field-label--type-inline'>Quite Satisfied<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_5_2'>\n\t\t\t\t<input name='input_5' type='radio' value='Somewhat Dissatisfied'  id='choice_12_5_2'    \/>\n\t\t\t\t<label for='choice_12_5_2' id='label_12_5_2' class='gform-field-label gform-field-label--type-inline'>Somewhat Dissatisfied<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_5_3'>\n\t\t\t\t<input name='input_5' type='radio' value='Very Dissatisfied'  id='choice_12_5_3'    \/>\n\t\t\t\t<label for='choice_12_5_3' id='label_12_5_3' class='gform-field-label gform-field-label--type-inline'>Very Dissatisfied<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_14\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Our goal is to provide excellent customer service and satisfaction. Please include your contact information at the end of a survey so a supervisor can follow up with you on this experience.<\/li><li id=\"field_12_16\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Data Exchange<\/h2><\/li><li id=\"field_12_7\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >7.  Does your practice send immunization data electronically to VIIS?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_7'>\n\t\t\t<li class='gchoice gchoice_12_7_0'>\n\t\t\t\t<input name='input_7' type='radio' value='Yes'  id='choice_12_7_0'    \/>\n\t\t\t\t<label for='choice_12_7_0' id='label_12_7_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_7_1'>\n\t\t\t\t<input name='input_7' type='radio' value='No'  id='choice_12_7_1'    \/>\n\t\t\t\t<label for='choice_12_7_1' id='label_12_7_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_7_2'>\n\t\t\t\t<input name='input_7' type='radio' value='Do Not Know'  id='choice_12_7_2'    \/>\n\t\t\t\t<label for='choice_12_7_2' id='label_12_7_2' class='gform-field-label gform-field-label--type-inline'>Do Not Know<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_8\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >7a.  If yes, do you review your data to identify data discrepancies?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_8'>\n\t\t\t<li class='gchoice gchoice_12_8_0'>\n\t\t\t\t<input name='input_8' type='radio' value='Yes'  id='choice_12_8_0'    \/>\n\t\t\t\t<label for='choice_12_8_0' id='label_12_8_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_8_1'>\n\t\t\t\t<input name='input_8' type='radio' value='No'  id='choice_12_8_1'    \/>\n\t\t\t\t<label for='choice_12_8_1' id='label_12_8_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_9\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_9'>7b.  If no, why not?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_9' id='input_12_9' class='textarea medium'   maxlength='2500'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_12_15\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">General<\/h2><\/li><li id=\"field_12_6\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >8.  How likely is it that you would recommend VIIS to other practices?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_6'>\n\t\t\t<li class='gchoice gchoice_12_6_0'>\n\t\t\t\t<input name='input_6' type='radio' value='Highly Likely'  id='choice_12_6_0'    \/>\n\t\t\t\t<label for='choice_12_6_0' id='label_12_6_0' class='gform-field-label gform-field-label--type-inline'>Highly Likely<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_6_1'>\n\t\t\t\t<input name='input_6' type='radio' value='Somewhat Likely'  id='choice_12_6_1'    \/>\n\t\t\t\t<label for='choice_12_6_1' id='label_12_6_1' class='gform-field-label gform-field-label--type-inline'>Somewhat Likely<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_6_2'>\n\t\t\t\t<input name='input_6' type='radio' value='Not at all Likely'  id='choice_12_6_2'    \/>\n\t\t\t\t<label for='choice_12_6_2' id='label_12_6_2' class='gform-field-label gform-field-label--type-inline'>Not at all Likely<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_21\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Optional Information:<\/h2><\/li><li id=\"field_12_10\" class=\"gfield gfield--type-text gf_left_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_10'>What is your Org Code?<\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_12_10' type='text' value='' class='medium' maxlength='10'     aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_12_2\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_right_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_2'>Date of your call?<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_2' id='input_12_2' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_12_2_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_12_2_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_12_2' class='gform_hidden' value='https:\/\/www.vdh.virginia.gov\/content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_12_17\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_12_17'>\n                            \n                            <span id='input_12_17_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_17.3' id='input_12_17_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_12_17_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_12_17_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                 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