Complete this survey to receive a $10 Meijer gift card! You or your child recently received services from Health Net of West Michigan and we would like to know about your experience. 

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* 1. Are you filling this out for yourself or your child?

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* 2. How helpful was Health Net staff in connecting you to resources?

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* 3. After working with Health Net staff, do you feel confident using resources?

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* 4. Did you feel respected by Health Net staff?

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* 5. Did you feel that Health Net staff understood your needs?

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* 6. How satisfied are you with your doctor’s office

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* 7. Would you recommend Health Net to others?

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* 8. How can Health Net improve?

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* 9. Would you be interested in an interview, or sharing more of your experience with Health Net?

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* 10. Please add your name and address below to receive the Meijer gift card.
Disclaimer: Please note that only one $10 Meijer gift card will be mailed to the name and address provided below. Health Net cannot provide replacement for lost or stolen gift cards.

Thank you for completing this survey!

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