# Member grievance route info survey

Assess concern-reporting information.

If nothing was unclear or difficult, say so. Skip questions about steps you did not experience; use not applicable where appropriate.

## 1. Where did you find the route?

Answer: ____________________

## 2. Which scope explanation was unclear?

Answer: ____________________

## 3. What handling reference was missing?

Answer: ____________________

## Author notes / illustrative keys where applicable

1. Read for discovery. Keep the specific explanation in the respondent’s own words rather than converting it into an unexplained overall satisfaction score.
2. Read for scope meaning. Keep the specific explanation in the respondent’s own words rather than converting it into an unexplained overall satisfaction score.
3. Read for handling source. Keep the specific explanation in the respondent’s own words rather than converting it into an unexplained overall satisfaction score.

Interpretation caution: Do not collect grievance details.