Complete this survey to receive a $10 Meijer gift card and have a chance to win a $75 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. 

Are you filling this out for yourself or your child?

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

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

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

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

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

Did you feel respected by Health Net staff?

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

Did you feel that Health Net staff understood your needs?

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

How satisfied are you with your doctor’s office

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

Would you recommend Health Net to others?

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* 7. Would you recommend Health Net to others?

How can Health Net improve?

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* 8. How can Health Net improve?

Would you be interested in providing in person feedback at a Health Net focus group?

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* 9. Would you be interested in providing in person feedback at a Health Net focus group?

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, and only two $75 Meijer gift card winners will be selected. Health Net cannot provide replacement for lost or stolen gift cards.

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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, and only two $75 Meijer gift card winners will be selected. Health Net cannot provide replacement for lost or stolen gift cards.

Thank you for completing this survey!

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