FREE COMPLIANCE ASSESSMENT

* Name:
Street Address:
City:
State:
Zip:
* Email:
* Phone:
* Preferred Contact Method?
Telephone
Email
* DO YOU HAVE A WRITTEN COMPLIANCE PROGRAM?
YES
NO
PARTIAL
* DO YOU HAVE A COMPLIANCE OFFICER?
YES
NO
UNKNOWN
* DO YOU CONDUCT ROUTINE COMPLIANCE TRAINING?
YES
NO
* DO YOUR EMPLOYEES KNOW HOW TO REPORT COMPLIANCE VIOLATIONS?
YES
NO
NOT SURE
* DO YOU HAVE AN OPEN-DOOR POLICY TO SAFELY REPORT VIOLATIONS?
YES
NO
UNSURE
* DO YOU CONDUCT ROUTINE AUDITS OF YOUR DOCUMENTATION?
YES
NO
NOT CONSISTENTLY
* DO YOU REVIEW AND UPDATE YOUR COMPLIANCE MANUAL ON A REGULAR BASIS?
YES
NO
NOT CONSISTENTLY
* DO YOU HAVE A FAIR AND CONSISTENT DISCIPLINE POLICY FOR COMPLIANCE VIOLATIONS?
YES
NO
* DO YOU TAKE TIMELY CORRECTIVE ACTIONS WHEN VIOLATIONS OCCUR?
YES
NO
* DO YOU NEED HELP IMPLEMENTING A COMPLIANCE PROGRAM?
YES
NO
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