Prokalite | UYUM PROGRAMI TAKİP FORMU

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EY.FR.011 - UYUM PROGRAMI TAKİP FORMU

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Demo Hastanesi (Prokalite.Com) UYUM PROGRAMI TAKİP FORMU

Doküman Kodu: EY.FR.011

Yayın Tarihi: 28.02.2022

Revizyon Tarihi: 21.02.2023

Revizyon No: 1

Sayfa: Otomatik

AD SOYAD	TC NO	UNVAN	CEP TEL.	E- POSTA	GÖREVE BAŞLAMA T.	UYUM EĞİTİM T.	ANKET UYG. T.












AÇIKLAMA (Uyum eğitimi fayda sağlamadı ise nedenleri ve önerileri yazınız.):
* 1-Kesinlikle katılıyorum/2 -katılıyorum/ 3-kararsızım / 4-Katılmıyorum /5 Kesinlikle Katılmıyorum

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<table style="border-collapse:collapse; width:882px" class=" cke_show_border" cellspacing="0"><tbody><tr><td style="border-bottom:1px solid currentcolor; border-left:1px solid currentcolor; border-right:1px solid currentcolor; border-top:1px solid currentcolor; height:19px; text-align:left; vertical-align:top; width:99px"><strong><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif">AD SOYAD</span></span></span></strong></td><td style="border-color:currentcolor; border-style:solid solid solid none; border-width:1px 1px 1px medium; text-align:left; vertical-align:top; width:112px"><strong><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif">TC NO </span></span></span></strong></td><td style="border-color:currentcolor; border-style:solid solid solid none; border-width:1px 1px 1px medium; text-align:left; vertical-align:top; width:62px"><strong><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif">UNVAN</span></span></span></strong></td><td style="border-color:black black black currentcolor; border-style:solid solid solid none; border-width:1px 1px 1px medium; text-align:left; vertical-align:top; width:81px"><strong><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif">CEP TEL.</span></span></span></strong></td><td style="border-color:black black black currentcolor; border-style:solid solid solid none; border-width:1px 1px 1px medium; text-align:left; vertical-align:top; width:223px"><strong><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif">E- POSTA </span></span></span></strong></td><td style="border-color:black black black currentcolor; border-style:solid solid solid none; border-width:1px 1px 1px medium; text-align:left; vertical-align:top; width:93px"><strong><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif">GÖREVE BAŞLAMA T.</span></span></span></strong></td><td style="border-color:black black black currentcolor; border-style:solid solid solid none; border-width:1px 1px 1px medium; text-align:left; vertical-align:top; width:86px"><strong><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif">UYUM EĞİTİM T.</span></span></span></strong></td><td style="border-color:black black black currentcolor; border-style:solid solid solid none; border-width:1px 1px 1px medium; text-align:left; vertical-align:top; width:68px"><strong><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif">ANKET UYG. T.</span></span></span></strong></td></tr><tr><td style="border-bottom:1px solid black; border-left:1px solid currentcolor; border-right:1px solid black; border-top:none; height:80px; text-align:left; vertical-align:top; width:99px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:left; vertical-align:top; width:112px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:left; vertical-align:top; width:62px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td><td style="border-color:currentcolor black black currentcolor; 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text-align:left; vertical-align:top; width:93px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:left; vertical-align:top; width:86px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:left; vertical-align:top; width:68px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:1px solid currentcolor; border-right:1px solid black; border-top:none; height:80px; text-align:left; vertical-align:top; width:99px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td><td style="border-color:currentcolor black black currentcolor; 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text-align:left; vertical-align:top; width:223px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:left; vertical-align:top; width:93px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:left; vertical-align:top; width:86px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:left; vertical-align:top; width:68px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:1px solid currentcolor; border-right:1px solid black; border-top:none; height:80px; text-align:left; vertical-align:top; width:99px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:left; vertical-align:top; width:112px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:left; vertical-align:top; width:62px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:left; vertical-align:top; width:81px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:left; vertical-align:top; width:223px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:left; vertical-align:top; width:93px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:left; vertical-align:top; width:86px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:left; vertical-align:top; width:68px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:1px solid currentcolor; border-right:1px solid black; border-top:none; height:80px; text-align:left; vertical-align:top; width:99px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:left; vertical-align:top; width:112px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:left; vertical-align:top; width:62px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:left; vertical-align:top; width:81px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:left; vertical-align:top; width:223px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:left; vertical-align:top; width:93px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:left; vertical-align:top; width:86px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:left; vertical-align:top; width:68px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif"> </span></span></span></td></tr><tr><td colspan="8" style="border-color:black; border-style:solid; border-width:1px; height:48px; text-align:left; vertical-align:top; width:637px"><span style="font-size:15px"><span style="color:black"><span style="font-family:Calibri,sans-serif">AÇIKLAMA (Uyum eğitimi fayda sağlamadı ise nedenleri ve önerileri yazınız.): </span></span></span></td></tr><tr><td colspan="8" style="border-bottom:1px solid black; border-left:1px solid black; border-right:.7px solid black; border-top:1px solid black; height:20px; text-align:left; vertical-align:top"><span style="font-size:13px"><span style="color:black"><span style="font-family:Calibri,sans-serif">* 1-Kesinlikle katılıyorum/2 -katılıyorum/ 3-kararsızım / 4-Katılmıyorum /5 Kesinlikle Katılmıyorum</span></span></span></td></tr></tbody></table>