The Chief of the Department/designee is asked to complete this form following the internal audit of your department, and return it to the Continuous Improvement Office. Your response is appreciated as it will help us to continually improve the internal audit process.

Department Audited:	Date of Internal Audit: ____________

Chief of Department/Designee: ________________________________________________________________

Auditor name(s):

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Please choose the best answer:	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
The audit was conducted in a professional and productive manner.	☐	☐	☐	☐	☐
The audit helped us identify ways to improve our process/procedure.	☐	☐	☐	☐	☐
The timeframe for the audit was sufficient.	☐	☐	☐	☐	☐
The auditors asked appropriate questions.	☐	☐	☐	☐	☐
The auditors were prepared for the audit.	☐	☐	☐	☐	☐
The audit focused on the process/procedure, not the employees.	☐	☐	☐	☐	☐
Observations and concerns were shared with us during the audit.	☐	☐	☐	☐	☐
Appropriate work samples were requested during the audit.	☐	☐	☐	☐	☐
The audit provided an opportunity to discuss both effective and less effective aspects of our process/procedure.	☐	☐	☐	☐	☐
We are prepared for an external audit.	☐	☐	☐	☐	☐

Additional comments regarding the internal audit are appreciated:

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