Dear Group Benefits Plan (GBP) Participant; 

You have been chosen to share your opinion about KelseyCare powered by Community Health Choice.

Your answers will be kept private, and they will only be used to improve the KelseyCare powered by Community Health Choice participant experience.

Simply fill out the survey and provide any feedback you wish to share with your answers. Please send back your completed survey in the enclosed postage-paid envelope by June 21, 2018. 

If you have any questions, please call KelseyCare powered by Community Health Choice at 713.295.6792 or toll-free at 844.515.4877. Our hours are Monday through Friday, 8:00 a.m. to 5:00 p.m.

Thank you for helping KelseyCare powered by Community Health Choice serve you better!

How would you rate the website, ERSKelseyCare.com? ("1" is you do not like it at all; "10" is you like it very much.)

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* 1. How would you rate the website, ERSKelseyCare.com? ("1" is you do not like it at all; "10" is you like it very much.)

Overall, how would you rate the member welcome packet? ("1" is you do not like it at all; "10" is you like it very much.)

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* 2. Overall, how would you rate the member welcome packet? ("1" is you do not like it at all; "10" is you like it very much.)

How would you rate your understanding of your benefits? (How, when, and where to use) ("1" is you do not understand at all; "10" is you understand very well.)

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* 3. How would you rate your understanding of your benefits? (How, when, and where to use) ("1" is you do not understand at all; "10" is you understand very well.)

When making an appointment at a Kelsey-Seybold Clinic, how would you rate the ease of scheduling an appointment? ("1" is not easy at all; "10" is very easy.)

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* 4. When making an appointment at a Kelsey-Seybold Clinic, how would you rate the ease of scheduling an appointment? ("1" is not easy at all; "10" is very easy.)

At your scheduled appointment time, how would you rate the timeframe in which you were seen by your doctor? ("1" is very dissatisfied; "10" is very satisfied.)

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* 5. At your scheduled appointment time, how would you rate the timeframe in which you were seen by your doctor? ("1" is very dissatisfied; "10" is very satisfied.)

Please answer the following questions: 

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* 6. Please answer the following questions: 

  Very Dissatisfied  Dissatisfied  Somewhat Dissatisfied  Neutral Somewhat Satisfied Satisfied Very Satisfied 
a. How would you rate your nurse experience?
b. How would you rate your physician experience (PCP/Specialist)?
As a KelseyCare powered by Community Health Choice member, you have access to KelseyCare Concierge - a team of experts who want to help you look after your special healthcare needs and maximize your healthcare benefits. It's like having a personal assistant and a healthcare advocate rolled into one!

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* 7. As a KelseyCare powered by Community Health Choice member, you have access to KelseyCare Concierge - a team of experts who want to help you look after your special healthcare needs and maximize your healthcare benefits. It's like having a personal assistant and a healthcare advocate rolled into one!

  Yes No
a. Are you aware of this service
b. Rate your ease of use.
If you answered "Yes" on question 7b, please answer the following questions:

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* 8. If you answered "Yes" on question 7b, please answer the following questions:

  Very Dissatisfied Dissatisfied Somewhat Dissatisfied Neutral Somewhat Satisfied Satisfied Very Satisfied
a. Rate your experience.
b. Rate your ease of use.
How would you rate your overall satisfaction with KelseyCare powered by Community Health Choice? ("1" is very dissatisfied; "10" is very satisfied.)

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* 9. How would you rate your overall satisfaction with KelseyCare powered by Community Health Choice? ("1" is very dissatisfied; "10" is very satisfied.)

Optional Information (Each response below is optional.)

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* 10. Optional Information (Each response below is optional.)

Optional Information (cont.): Age Range

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* 11. Optional Information (cont.): Age Range

Please provide any additional feedback you may have.

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* 12. Please provide any additional feedback you may have.

 
100% of survey complete.

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