DTM Provider Survey

Thank you for sharing your feedback. We are committed to providing quality patient care to achieve best outcomes and welcome your feedback/suggestions/concerns. Please do not submit Protected Health Information (PHI) through this survey. If you have specific concerns that involve PHI, please call our Guide Team at 1-866-840-1877.

	1. Strongly Disagree	2. Disagree	3. Neutral	4. Agree	5. Strongly Agree	N/A
I am satisfied with the services provided by WithMe Health.	I am satisfied with the services provided by WithMe Health. 1. Strongly Disagree	I am satisfied with the services provided by WithMe Health. 2. Disagree	I am satisfied with the services provided by WithMe Health. 3. Neutral	I am satisfied with the services provided by WithMe Health. 4. Agree	I am satisfied with the services provided by WithMe Health. 5. Strongly Agree	I am satisfied with the services provided by WithMe Health. N/A
WithMe Health staff were helpful and courteous.	WithMe Health staff were helpful and courteous. 1. Strongly Disagree	WithMe Health staff were helpful and courteous. 2. Disagree	WithMe Health staff were helpful and courteous. 3. Neutral	WithMe Health staff were helpful and courteous. 4. Agree	WithMe Health staff were helpful and courteous. 5. Strongly Agree	WithMe Health staff were helpful and courteous. N/A
The staff from WithMe Health has been an effective partner in managing patient drug therapy.	The staff from WithMe Health has been an effective partner in managing patient drug therapy. 1. Strongly Disagree	The staff from WithMe Health has been an effective partner in managing patient drug therapy. 2. Disagree	The staff from WithMe Health has been an effective partner in managing patient drug therapy. 3. Neutral	The staff from WithMe Health has been an effective partner in managing patient drug therapy. 4. Agree	The staff from WithMe Health has been an effective partner in managing patient drug therapy. 5. Strongly Agree	The staff from WithMe Health has been an effective partner in managing patient drug therapy. N/A
The collaboration between your practice and WithMe Health has improved the patients’ overall health.	The collaboration between your practice and WithMe Health has improved the patients’ overall health. 1. Strongly Disagree	The collaboration between your practice and WithMe Health has improved the patients’ overall health. 2. Disagree	The collaboration between your practice and WithMe Health has improved the patients’ overall health. 3. Neutral	The collaboration between your practice and WithMe Health has improved the patients’ overall health. 4. Agree	The collaboration between your practice and WithMe Health has improved the patients’ overall health. 5. Strongly Agree	The collaboration between your practice and WithMe Health has improved the patients’ overall health. N/A
The pharmacy staff at WithMe Health exercise professional judgement in their recommendations regarding patient’s therapies based on claims history.	The pharmacy staff at WithMe Health exercise professional judgement in their recommendations regarding patient’s therapies based on claims history. 1. Strongly Disagree	The pharmacy staff at WithMe Health exercise professional judgement in their recommendations regarding patient’s therapies based on claims history. 2. Disagree	The pharmacy staff at WithMe Health exercise professional judgement in their recommendations regarding patient’s therapies based on claims history. 3. Neutral	The pharmacy staff at WithMe Health exercise professional judgement in their recommendations regarding patient’s therapies based on claims history. 4. Agree	The pharmacy staff at WithMe Health exercise professional judgement in their recommendations regarding patient’s therapies based on claims history. 5. Strongly Agree	The pharmacy staff at WithMe Health exercise professional judgement in their recommendations regarding patient’s therapies based on claims history. N/A

1. Strongly Disagree

2. Disagree

3. Neutral

4. Agree

5. Strongly Agree

N/A

I am satisfied with the services provided by WithMe Health.

I am satisfied with the services provided by WithMe Health. 1. Strongly Disagree

I am satisfied with the services provided by WithMe Health. 2. Disagree

I am satisfied with the services provided by WithMe Health. 3. Neutral

I am satisfied with the services provided by WithMe Health. 4. Agree

I am satisfied with the services provided by WithMe Health. 5. Strongly Agree

I am satisfied with the services provided by WithMe Health. N/A

WithMe Health staff were helpful and courteous.

WithMe Health staff were helpful and courteous. 1. Strongly Disagree

WithMe Health staff were helpful and courteous. 2. Disagree

WithMe Health staff were helpful and courteous. 3. Neutral

WithMe Health staff were helpful and courteous. 4. Agree

WithMe Health staff were helpful and courteous. 5. Strongly Agree

WithMe Health staff were helpful and courteous. N/A

The staff from WithMe Health has been an effective partner in managing patient drug therapy.

The staff from WithMe Health has been an effective partner in managing patient drug therapy. 1. Strongly Disagree

The staff from WithMe Health has been an effective partner in managing patient drug therapy. 2. Disagree

The staff from WithMe Health has been an effective partner in managing patient drug therapy. 3. Neutral

The staff from WithMe Health has been an effective partner in managing patient drug therapy. 4. Agree

The staff from WithMe Health has been an effective partner in managing patient drug therapy. 5. Strongly Agree

The staff from WithMe Health has been an effective partner in managing patient drug therapy. N/A

The collaboration between your practice and WithMe Health has improved the patients’ overall health.

The collaboration between your practice and WithMe Health has improved the patients’ overall health. 1. Strongly Disagree

The collaboration between your practice and WithMe Health has improved the patients’ overall health. 2. Disagree

The collaboration between your practice and WithMe Health has improved the patients’ overall health. 3. Neutral

The collaboration between your practice and WithMe Health has improved the patients’ overall health. 4. Agree

The collaboration between your practice and WithMe Health has improved the patients’ overall health. 5. Strongly Agree

The collaboration between your practice and WithMe Health has improved the patients’ overall health. N/A

The pharmacy staff at WithMe Health exercise professional judgement in their recommendations regarding patient’s therapies based on claims history.

The pharmacy staff at WithMe Health exercise professional judgement in their recommendations regarding patient’s therapies based on claims history. 1. Strongly Disagree

The pharmacy staff at WithMe Health exercise professional judgement in their recommendations regarding patient’s therapies based on claims history. 2. Disagree

The pharmacy staff at WithMe Health exercise professional judgement in their recommendations regarding patient’s therapies based on claims history. 3. Neutral

The pharmacy staff at WithMe Health exercise professional judgement in their recommendations regarding patient’s therapies based on claims history. 4. Agree

The pharmacy staff at WithMe Health exercise professional judgement in their recommendations regarding patient’s therapies based on claims history. 5. Strongly Agree

The pharmacy staff at WithMe Health exercise professional judgement in their recommendations regarding patient’s therapies based on claims history. N/A

DTM Provider Survey

Question Title

* 1. On a scale of 1-5, with 5 being the highest, please share your level of agreement with the following?

Question Title

* 2. What would you recommend MED QUICK to improve upon?