Questions and Concerns Call Log Sheet
Name:____________________________________________________________
Person/Dept. calling:____________________________________________________________
Date/Time:____________________________________________________________
Call #*____________________________________________________________
Question or concern:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Action taken:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Follow-up date:
_____________________________________________________________________
Follow-up action:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
* How to make call # assignment: The month + initials of the person taking the call + the # of call. Log knowledge-based concerns or questions, billing, policies, education, financial statements, contracts, etc. For example: 08 DT 001