The Passport Program is committed to offering you the best possible services. This survey is intended to provide our agency with information that will assist us in better administering Passport funding. This evaluation is completely voluntary.

We are surveying all Passport recipients who are currently receiving funding. The information collected in this survey will be used to better understand your needs and help us make improvements to the way we deliver our services. Your responses will remain anonymous as we will be summarizing all the information we receive.

If you have any questions about this survey and the use of the information, feel free to contact Lutheran Community Care Passport Program at passport@lccare.ca or toll free at 1-855-376-6673.

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* 1. Please enter your postal code:

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* 2. When contacting Lutheran Community Care Passport Program it is easy to use the automated phone system to reach a Passport representative.

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* 3. How many different people did you speak with in order to get the information you required?

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* 4. How often are you in contact with a Passport representative?

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* 5. The Passport representative...

  Strongly Agree Somewhat Agree Neutral Somewhat Disagree Strongly Disagree
Answers my questions
Is knowledgeable
Is quick to respond

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* 6. The Passport representative’s answers to my questions are….

  Strongly Agree Somewhat Agree Neutral Somewhat Disagree Strongly Disagree
Clear
Timely
Helpful

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* 7. Please rank your preferred method of communication with your Passport representative:
(1 - 4 with 1 being the most preferred method and 4 being the least preferred method)

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* 8. Please indicate your level of agreement with the following statements:

  Strongly Agree Somewhat Agree Neutral Somewhat Disagree Strongly Disagree
Passport invoices are straightforward and easy to complete.
Passport invoices are easy to submit for reimbursement.
The length of time it takes to receive invoice reimbursement is acceptable.

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* 9. What is an acceptable time frame to receive reimbursement for your invoices?

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* 10. Are the documents and information you receive from the Passport program easy to understand and follow?

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* 11. Of the following services, please select the top 3 that are most important to you.

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* 12. Overall, how satisfied are you with:

  Very Satisfied Somewhat Satisfied Neutral Somewhat Dissatisfied Very Dissatisfied
The services you received from the Passport Program at Lutheran Community Care?
The services you received from the Passport Representative at Lutheran Community Care?
The invoicing and reimbursement process?
The length of time it takes to receive reimbursement for your invoices?

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* 13. Please provide any additional comments you may have in the space below:

Thank you for taking the time to complete this survey. Your feedback is appreciated!

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