Scholars Health Program Survey
Required Required Question(s)
Required 1.

Please enter the information indicated below.
First Name:
Last Name:
Email Address:
emailaddress@xyz.com
Country:

Required 2.

Who is your employer or organization?
 

  • 50 characters left.
3.

Please rate the Scholars Health Program STAFF.

 Poor Fair Good Excellent  
Helpful  
Knowledgeable  
Friendly  
Accurate  
  • Comment:

  • 500 characters left.
4.

Please rate the Scholars Health Program CLAIMS HANDLING.
 Poor Fair Good Excellent  
Clarity and Timeliness of Claims Information  
Claims Filing Process  
Settlement of Claim  
  • Comment:

  • 500 characters left.
5.

Please rate the Scholars Health Program WEBSITE.
 Poor Fair Good Excellent  
Quality of Information  
Ease of Use  
  • Comment:

  • 500 characters left.
6.

How can we improve your overall experience? (Service suggestions or enhancements, issue to be addressed, website improvements, etc.)
 

  • 1000 characters left.
Required 7.

May we contact you regarding your survey?
Yes
No

Confidentiality
Your feedback will kept strictly confidential. The information you provide will help improve Scholar’s Health Program. It will only be used for the purposes of this survey, and will not be released to anyone.