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Checksheets
• No single standard form
Checksheets • Custom designed
• Use for anything that you can
count or measure

Checksheets Recording Checksheet Example

Description Tally Count Total Percent
• Types of checksheets Written III
Complaint
–Recording Checksheets Telephone IIIII II
–Checklists Complaint
E-Mail IIIII IIIII
–Measles charts Complaint IIII
In Person I
Complaint

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Recording Checksheet Example Recording Checksheet Example

Description Tally Count Total Percent Telephone Resolution Time
Written III 3 12% To determine how many calls exceeded the specified limits.
Response Time Calls Total
Complaint
0 – 1 minutes IIIII IIIII IIII 14
Telephone IIIII II 7 28% 1.1-2 minutes IIIII IIII 9
Complaint 2.1-3 minutes IIIII I 6
3.1-4 minutes III 3
E-Mail IIIII IIIII 14 56%
>4 minutes II 2
Complaint IIII Grand Total 34
In Person I 1 4% Comments:
Complaint

How to Use Example Checklist Example

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Measles Chart Example Measles Chart Example

How to use – Data Collection Plan How to use – Data Collection Plan

• A checksheet should be part of a data

collection plan What data ? How to collect? How to display?

• The Plan should include

– What data to collect
– How to Collect it
– How to display and interpret it

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Check Sheets
• Simple
• Quick
• Flexible
• Customized