7/30/2019 Quality Scale Survey
1/2
Copyright Envision Corporation. 2002. All rights reserved.
Protected by the copyright laws of the United States & Canada
and by international treaties. IT ISILLEGAL AND STRICTLY PROHIBITED
TO DISTRIBUTE, PUBLISH, OFFER FOR SALE, LICENSE OR SUBLICENSE, GIVE
OR DISCLOSE TO ANY OTHERPARTY, THIS PRODUCT IN HARD COPY OR DIGITAL
FORM. ALL OFFENDERS WILL BE SUED IN A COURT OF LAW.
Copyright Envision Corporation. 2002. All rights reserved.
Protected by the copyrightlaws of the United States & Canada
and by international treaties. IT IS ILLEGAL ANDSTRICTLY PROHIBITED
TO DISTRIBUTE, PUBLISH, OFFER FOR SALE, LICENSEOR SUBLICENSE, GIVE
OR DISCLOSE TO ANY OTHER PARTY, THIS PRODUCT IN
HARD COPY OR DIGITAL FORM. ALL OFFENDERS WILL BE SUED IN A COURT
OFLAW.
Copyright Envision Corporation. 2002. All rights reserved.
Protected by thecopyright laws of the United States & Canada
and by international treaties. IT ISILLEGAL AND STRICTLY PROHIBITED
TO DISTRIBUTE, PUBLISH, OFFER FORSALE, LICENSE OR SUBLICENSE, GIVE
OR DISCLOSE TO ANY OTHER PARTY,THIS PRODUCT IN HARD COPY OR DIGITAL
FORM. ALL OFFENDERS WILL BESUED IN A COURT OF LAW.
Copyright Envision Corporation. 2002. All rights reserved.
Protected by the copyrightlaws of the United States and Canada and
by international treaties. IT IS ILLEGAL ANDSTRICTLY PROHIBITED TO
DISTRIBUTE, PUBLISH, OFFER FOR SALE, LICENSEOR SUBLICENSE, GIVE OR
DISCLOSE TO ANY OTHER PARTY, THIS PRODUCT INHARD COPY OR DIGITAL
FORM. ALL OFFENDERS WILL AUTOMATICALLY BESUED IN A COURT OF
LAW.
QUALITY SCALE SURVEY
Name: ______________________________________
Age: _______________________________________
Gender: ____________________________________
1
2 Fair
3 Good
4 Very Good
5 Excellent
For each item identified below, circle the number to the right
that best fits your judgment of its quality.Use the scale above to
select the quality number.
Description / Identification of Survey Item Scale
7/30/2019 Quality Scale Survey
2/2
Copyright Envision Corporation. 2002. All rights reserved.
Protected by the copyright laws of the United States & Canada
and by international treaties. IT ISILLEGAL AND STRICTLY PROHIBITED
TO DISTRIBUTE, PUBLISH, OFFER FOR SALE, LICENSE OR SUBLICENSE, GIVE
OR DISCLOSE TO ANY OTHERPARTY, THIS PRODUCT IN HARD COPY OR DIGITAL
FORM. ALL OFFENDERS WILL BE SUED IN A COURT OF LAW.
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