Medicare Provider Page Survey Question Title * 1. What is your profession? Physician (PCP) Physician (Specialist) Physician (OB/GYN) Behavioral Health Practitioner Skilled nursing facility Office Staff Other (please specify) OK Question Title * 2. How did you learn about our website? Select all that apply. Provider Newsletter Provider Manual Provider Relations Representative Customer Service Other (please specify) OK Question Title * 3. What is your primary reason for visiting our website? Provider Forms Provider Portal Access Claims and billing information Member eligibility information Prior Authorization Other (please specify) OK Question Title * 4. How often do you visit our website? This is my first visit. I have visited 2-3 times before. I visit regularly (at least once a week). I visit monthly (1-2 times a month). I visit quarterly (3-4 times a year). I visit annually (1-2 times a year). Other (please specify) OK Question Title * 5. How satisfied are you with our website? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied OK Question Title * 6. On a scale of 1-10, with 1 being the lowest rating and 10 being the highest, how do you feel our website compares to other health plan websites? 0 10 Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 7. What other features or information would you like to see added to our website? OK DONE