Customer Satisfaction Survey

Our aspiration at Medlogix and CHN PPO is to provide quality service to our customers. To accomplish this goal your input is of foremost importance.

Thank you in advance for your cooperation in this matter.

When was the last time you called the Medlogix/CHN PPO Customer Service Department?

Within the last week

Within the last month

Within the last 6 months

What was the purpose of your call?

To check the network status of a physician/ancillary/hospital

To inquire about the status of a claim

Questions regarding health benefits coverage

Other

When placed in the customer service queue, did you speak directly to a representative?

Yes No

If no, was your call transferred to voice mail?

Yes No

If yes, how long before you received a return call from a representative?

Immediately

1-2 days

Within one week

No return call to date

Were you put on hold while the representative attempted to answer your inquiry?

Yes No

If yes, how long did you have to wait?

Less than 5 minutes

Over 5 minutes

Do not recall

How would you rate the courtesy of the Customer Service Representative?

Excellent

Good

Fair

Poor

Unsatisfactory

Was the representative able to answer your questions?

Yes No

How would you rate the representative's knowledge of the issues?

Excellent

Good

Fair

Poor

Unsatisfactory

How would you rate the subsequent actions of the representative to resolve your problem?

Excellent

Good

Fair

Poor

Unsatisfactory

Overall, please rate the service of your last call to our Customer Service Department.

Excellent

Good

Fair

Poor

Unsatisfactory

Are you a:

Hospital

Physician

Client

Claimant

Additional Comments: