Managed Care Satisfaction Survey
Please help us improve our services by sharing your experience with our managed care program.
Your Name (optional)
First Name
Last Name
How long have you been enrolled in our managed care program?
*
Please Select
Less than 6 months
6-12 months
1-2 years
More than 2 years
Overall, how satisfied are you with the managed care services you receive?
*
1
2
3
4
5
How would you rate the accessibility of care (ease of making appointments, getting information, etc.)?
*
1
2
3
4
5
How would you rate the professionalism and courtesy of the care team?
*
1
2
3
4
5
How well did the care team communicate with you and answer your questions?
*
1
2
3
4
5
Did you feel involved in decisions about your care?
*
Yes, always
Yes, sometimes
No
Were you able to get the care you needed without unnecessary delays?
*
Yes, always
Yes, sometimes
No
Please rate your satisfaction with the following aspects of your care:
*
Rows
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Timeliness of care
1
2
3
4
5
Quality of information provided
6
7
8
9
10
Coordination between providers
11
12
13
14
15
What do you feel are the strengths of our managed care program?
What could we improve to better meet your needs?
Submit Survey
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