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Please complete this as soon as possible by December 31, 2021. 

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* 1. I am treated with respect by the Tempus Unlimited PCM staff

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* 2. When I contact my PCM agency with questions regarding my PCA services, my questions are answered correctly and timely.

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* 3. When I call Tempus, I receive a response within 3 business days.

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* 4. My skills trainer has kept scheduled appointments with me

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* 5. My Skills Trainer has been helpful in teaching me how to manage the PCA program

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* 6. Tempus PCM worked with me to develop  a Service Agreement

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* 7. I have been provided a copy of my Service Agreement within 10 days of developing the Service Agreement. 

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* 8. The evaluation team who conducted my evaluation was professional and respectful. 

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* 9. I was given the opportunity to review my evaluation

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* 10. I have been provided a copy of my evaluation upon its submission to MassHealth for review and decision. 

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* 11. Tempus PCM Agency is respectful of my culture

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* 12. Overall, I am satisfied with my PCM agency Tempus Unlimited. 

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* 13. I understand that I can not send in PCA timesheets when I am admitted to a hospital or rehab?

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* 14. I understand that I can not have the PCA program and AFC or GAFC at the same time.

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* 15. I have been given a copy of the Tempus Unlimited Complaint & Grievance Policy?

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* 16. I understand that I must submit PCA timesheets right after the end of the pay period?

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* 17. Do you have access to the internet? 

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* 18. Email Address Provided? Please include your email address here:

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* 19. Would you like to receive info by E-Mail?

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* 20. Are you a consumer

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* 21. Are you a surrogate? 

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* 22. Are you a parent or legal guardian?

0 of 22 answered
 

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