Call Monitoring Form
Call Monitoring Form
Agent Name
Product
Client
Call Date
System ID (Call ID Number)
Type of Call (Inbound, Outbound)
Type of Caller (HCP, Patient/Consumer, Other)
Primary Reason for Call
Call Scenario
Compliance Score Weight Points Availabe Value for Score Comments Description
Provided disclaimers in accordance with
1 1 1 1 1 Did the agent provide all required disclaimers in their entirety?
program requirements
Does the agent respond to the specific customer's inquiry without
Responded in a way that is limited to the caller's
2 1 4 4 4 expanding beyond the customer's inquiry with an exception for
inquiry
relevant safety information.
Appropriately identified a potential Adverse If stated, identify all Potential Adverse Event (PAE) or Product
3 1 5 5 5
Event or Product Quality Complaint Quality Complaint (PQC)
If stated and identified, acknowledge Potential Adverse Event (PAE)
Appropriately handled a potential Adverse
4 1 5 5 5 or Product Quality Complaint (PQC) and transfer caller immediately
Event or Product Quality Complaint
to appropriate channel or state appropriate language.
Soft Skills
Customer Greeting Score Comments Description
Appropriately greeted caller and identified self Agent introduces self by name and title and provides program name.
5 1 1 1 1
and organization Offered assistance.
Score 100%