Referral Source Satisfaction Survey Infusion Solutions Referral Source Survey 2017 Question Title * 1. Making a referral to Infusion Solutions is simple and straightforward. Strongly Agree Agree Neutral Disagree Strongly Disagree What would make the referral process easier? Question Title * 2. How would you rate the customer service you receive when you call Infusion Solutions? Excellent Good Average Poor Very Poor Comments? Anything we can do better? Question Title * 3. When I make a referral to Infusion Solutions, I receive a call back in a timely manner regarding acceptance or denial of the referral. Stongly Agree Agree Neutral Disagree Strongly Disagree What is your expectation regarding the timeline for this part of the process? Question Title * 4. If my patient has insurance barriers for home infusion, Infusion Solutions offers a thorough explanation and alternative solutions for infusion care. Strongly Agree Agree Neutral Disagree Strongly Disagree Comments? Question Title * 5. It is easy to reach Infusion Solutions after hours to make a referral (on evenings and weekends). Strongly Agree Agree Neutral Disagree Strongly Disagree N/A How would you improve the answering service? Comments? Question Title * 6. The liaison service offered by Infusion Solutions makes the discharge process easier for my patients and I. Strongly Agree Agree Neutral Disagree Strongly Disagree N/A What would make the liaison service better? More or less visibility in your workplace? Question Title * 7. My patients seem satisfied with the service they receive from Infusion Solutions. Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Comments? Question Title * 8. I am fully aware of all of Infusion Solution's services, both at home and in their infusion suites. Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Are the marketing materials effective? What would you like more information on? Question Title * 9. I would recommend Infusion Solutions to patients and other providers for infusion services. Strongly Agree Agree Neutral Disagree Strongly Disagree If you would recommend another company, please share why. Question Title * 10. THANK YOU FOR TAKING OUR SURVEY! If you would like to be entered into the drawing for a Belgian Chocolate Truffle Cake from the Mt. Bakery, please provide an email address in the box below. All answers will remain anonymous. email: Done