Indicate your level of satisfaction with the ease at which you were able to access an ActivHealthCare representative able to answer your question.

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* 1. Indicate your level of satisfaction with the ease at which you were able to access an ActivHealthCare representative able to answer your question.

Indicate your level of satisfaction with the professionalism and helpfulness of the ActivHealthCare representative with which you worked.

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* 2. Indicate your level of satisfaction with the professionalism and helpfulness of the ActivHealthCare representative with which you worked.

Indicate your overall satisfaction with your experience with ActivHealthCare.

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* 3. Indicate your overall satisfaction with your experience with ActivHealthCare.

Please rate your level of satisfaction with reports and letters you may have received from ActivHealthCare.

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* 4. Please rate your level of satisfaction with reports and letters you may have received from ActivHealthCare.

Please rate if the staff was friendly, courteous and knowledgeable?

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* 5. Please rate if the staff was friendly, courteous and knowledgeable?

If follow up or a response was required, was it received within an acceptable time-frame?

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* 6. If follow up or a response was required, was it received within an acceptable time-frame?

We would like to hear your feedback in your own words.

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* 7. We would like to hear your feedback in your own words.

I am best described as:

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* 8. I am best described as:

I am located in:

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* 9. I am located in:

Please provide your contact information.

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* 10. Please provide your contact information.

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