In order to serve you better, the Texas HIV Medication Program (THMP) would like you to complete this short survey. The information you provide will assist THMP in its efforts to continually improve services and become more responsive to the needs of its customers.

Thank you in advance for your cooperation.

1.Please choose your role in the THMP program

Client or applicant (ADAP)

Client or applicant (SPAP or TIAP)

Enrollment worker (includes case managers, eligibility workers, and others who assist clients in applying to THMP)

Participating pharmacy staff person

Other stakeholder

Please answer each question with Yes or No. If you answer “No”, please indicate a reason(s) in the comment section. If the question does not apply, please skip it.

2.Is THMP staff helpful, courteous, and knowledgeable?

Yes

No (please specify)

3.Is communicating with THMP via telephone an efficient process?

Yes

No (please specify)

4.Is communicating with THMP via fax an efficient process?

Yes

No (please specify)

5.Is communicating with THMP via mail an efficient process?

Yes

No (please specify)

6.Is the THMP website user friendly and does it contain adequate information?

Yes

No (please specify)

7.Was your application or the applications you submitted on behalf of your clients easy to submit and processed in a timely manner?

Yes

No (please specify)

8.Were your pharmacy orders or the pharmacy orders you submitted on behalf of your clients easy to submit and processed in a timely manner?

Yes

No (please specify)

9.Are the forms, instructions, and any other information provided by THMP helpful and easy to understand?

Yes

No (please specify)

10.Please provide additional feedback or information that you would like to provide regarding this process.