TPA/Payor - OPERATIONS Satisfaction Survey

Community Health Alliance

Community Health Alliance (CHA) strives to provide world-class customer service. Your input provides feedback and measurements of satisfaction so that we can better meet your needs. The Sales Department would like to "Thank You" in advance for your time and your comments.

Question Title

1. How would you rate your overall satisfaction with CHA.

	Very Poor- 0%	Poor- 25%	Fair- 50%	Good- 75%	Very Good- 100%
Satisfaction Rating	Satisfaction Rating Very Poor- 0%	Satisfaction Rating Poor- 25%	Satisfaction Rating Fair- 50%	Satisfaction Rating Good- 75%	Satisfaction Rating Very Good- 100%

Question Title

2. Do you find the customer service level satisfactory?

Very Poor- 0%

Poor- 25%

Fair- 50%

Good- 75%

Very Good- 100%

Very Poor- 0%

Poor- 25%

Fair- 50%

Good- 75%

Very Good- 100%

Question Title

3. Do you feel you can get questions answered in a timely manner?

	Very Poor- 0%	Poor- 25%	Fair- 50%	Good- 75%	Very Good- 100%
Satisfaction Rating	Satisfaction Rating Very Poor- 0%	Satisfaction Rating Poor- 25%	Satisfaction Rating Fair- 50%	Satisfaction Rating Good- 75%	Satisfaction Rating Very Good- 100%

Question Title

4. How satisfied are you with receiving the CHA fee schedule information?

Very Poor- 0%

Poor- 25%

Fair- 50%

Good- 75%

Very Good- 100%

Very Poor- 0%

Poor- 25%

Fair- 50%

Good- 75%

Very Good- 100%

Question Title

5. How satisfied are you with CHA monthly provider updates?

Very Poor- 0%

Poor- 25%

Fair- 50%

Good- 75%

Very Good- 100%

Very Poor- 0%

Poor- 25%

Fair- 50%

Good- 75%

Very Good- 100%

Question Title

6. Please rate the information available on the CHA website (www.chanetwork.com).

	Very Poor- 0%	Poor- 25%	Fair- 50%	Good- 75%	Very Good- 100%
Likelihood	Likelihood Very Poor- 0%	Likelihood Poor- 25%	Likelihood Fair- 50%	Likelihood Good- 75%	Likelihood Very Good- 100%

Question Title

7. What is the likelihood of you recommending CHA to others?

	Very Poor- 0%	Poor- 25%	Fair- 50%	Good- 75%	Very Good- 100%
Likelihood	Likelihood Very Poor- 0%	Likelihood Poor- 25%	Likelihood Fair- 50%	Likelihood Good- 75%	Likelihood Very Good- 100%

TPA/Payor - OPERATIONS Satisfaction Survey

Community Health Alliance

Question Title

1. How would you rate your overall satisfaction with CHA.

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2. Do you find the customer service level satisfactory?

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3. Do you feel you can get questions answered in a timely manner?

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4. How satisfied are you with receiving the CHA fee schedule information?

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5. How satisfied are you with CHA monthly provider updates?

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6. Please rate the information available on the CHA website (www.chanetwork.com).

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7. What is the likelihood of you recommending CHA to others?

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8. Any Additional Comments:

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9. Your Name (optional)

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10. E-mail Address & TPA/ Carrier you represent: