SurveyMonkey Powered Online Survey

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* 1. Who was your Care Advisor?

Kimberly Jackson

Sharon Owens

Don't know

Don't remember

Prefer not to answer

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* 2. How would you rate the following:

	Excellent	Good	Fair	Poor
The way the Care Advisor helped you with your care	The way the Care Advisor helped you with your care Excellent	The way the Care Advisor helped you with your care Good	The way the Care Advisor helped you with your care Fair	The way the Care Advisor helped you with your care Poor
How well your Care Advisor listened to you and explained things so you could understand them	How well your Care Advisor listened to you and explained things so you could understand them Excellent	How well your Care Advisor listened to you and explained things so you could understand them Good	How well your Care Advisor listened to you and explained things so you could understand them Fair	How well your Care Advisor listened to you and explained things so you could understand them Poor
How well the program helped you understand your health problems	How well the program helped you understand your health problems Excellent	How well the program helped you understand your health problems Good	How well the program helped you understand your health problems Fair	How well the program helped you understand your health problems Poor
The written materials mailed to you (brochures, letters, newsletters); were they helpful and easy-to-read?	The written materials mailed to you (brochures, letters, newsletters); were they helpful and easy-to-read? Excellent	The written materials mailed to you (brochures, letters, newsletters); were they helpful and easy-to-read? Good	The written materials mailed to you (brochures, letters, newsletters); were they helpful and easy-to-read? Fair	The written materials mailed to you (brochures, letters, newsletters); were they helpful and easy-to-read? Poor

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* 3. Could the program have been more helpful to you? If so, please explain.

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* 4. Do you want us to call you about your survey answers?

Yes

No