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Appendix F:
Data Collection/Evaluation Forms with Examples of Their Use
1. Data Collector Observation Log
2. Role Evaluation Checklist with Example for Role of Clinic Manager
(Flu Scenario)
3. Station-Specific Throughput Timesheet
4. Actor-Specific Throughput Timesheet
5. Participant Feedback Form
6. Hot Wash/Debriefing
7. After Action Report
8. Tracking Improvement Checklist
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