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Arise Health Management Program Satisfaction Survey

In order to continuously improve the quality of Arise Health Plan’s Health Management Program, we would welcome your feedback. Please take a few minutes to complete this survey. Your responses
will be completely anonymous unless you choose to include your name.
Case Manager:  Hossam "Sam" Shalaby
1.Your Name (optional):
2.Health Management Program:
3.I am the:
4.How many times did you speak to your Case Manager?
One time
2 - 5 times
6 - 10 times
More than 10 times


Please select your Satisfaction Level for questions 5 - 11.
5.I was able to contact my Case Manager whenever I needed assistance.
Strongly Disagree
Disagree
Agree
Strongly Agree
6.I worked with the Case Manager to determine the schedule and frequency of our contacts.
Strongly Disagree
Disagree
Agree
Strongly Agree
7.The Case Manager helped me understand my medical condition and treatment plan.
Strongly Disagree
Disagree
Agree
Strongly Agree
8.The educational materials received were helpful.
Strongly Disagree
Disagree
Agree
Strongly Agree
9.The Case Manager helped me follow my treatment plan and reach my goals.
Strongly Disagree
Disagree
Agree
Strongly Agree
10.The Case Manager assisted me in obtaining the health care or services I needed.
Strongly Disagree
Disagree
Agree
Strongly Agree
11.The Case Manager helped me understand my Arise Health Plan healthcare benefits.
Strongly Disagree
Disagree
Agree
Strongly Agree
12.I was satisfied with the Health Management program.
Strongly Disagree
Disagree
Agree
Strongly Agree
13.Would you recommend Arise Health Plan’s Health Management program?
14.How could Arise Health Plan make the Health Management process more valuable to you or your family/caregiver?



Thank you for participating in the survey!