Feedback Survey

Thank you for participating! Your feedback will assist in informing program improvements for the Department of Veterans Affairs' Coordinated Veteran's Care Program

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* 1. I am a

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* 2. My practice/work location ´╗┐could best be described as:

The Health Provider Toobox is an online resource comprising 4 tools to assist healthcare providers to understand, enroll and manage patients in the CVC Program. Please rate the tools:

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* 3. Eligibility Tool -Please rate your likeliness to use this tool:

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* 4. Care Plan Builder -Please rate your likeliness to use this tool:

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* 5. Find a Provider -Please rate your likeliness to use this tool:

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* 6. Claim Date Calculator -Please rate your likeliness to use this tool:

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* 7. How could we improve the Health Provider Toolbox website?

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* 8. If you would like to provide feedback on the CVC program please select Yes below, otherwise select No and thank you for your participation:

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