Example of survey form Optimize Project SC costing Preview on Page 1

Example of survey form Optimize Project SC costing 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the interviewee's name, title, and health center details in the designated fields at the top of the form.
  3. In the 'Health Facility General Information' section, select the appropriate options for cold chain functions and routine vaccine supply methods. Mark only one box where indicated.
  4. Provide information regarding energy sources available for cold chain equipment. Choose from options like grid electricity and bottled gas, ensuring to mark only one box for each.
  5. Fill out the population data section with relevant statistics for each year listed. Ensure accuracy as this data is crucial for analysis.
  6. Complete the vaccine data section by entering details about doses in stock and received for each vaccine listed. Pay attention to wastage rates as they impact overall efficiency.
  7. For human resources, list health workers involved in vaccine logistics, detailing their responsibilities and how often they perform these tasks.
  8. Finally, review all entries for accuracy before submitting your completed form through our platform.

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