Compare Care Survey

Introduction

Thank you for utilizing Compare Care sponsored by Bellin Health Partners. Please take a few minutes to answer the following questions to help us evaluate this service. Thank you for your assistance.

Service Questions

How are you satisfied with the service you received?

How did the service meet your expectations?

How helpful was this information in finding out the estimated charge requested?

Did you use this estimate to compare charges with other healthcare organizations?

If yes, how helpful was this information in comparing charges?

How easy was the information to understand?

What is the likelihood of you recommending this service to a friend?

Comments / Ideas for improvement:

How did you access the Compare Care information?

Would you be interested in participating in a focus group to further discuss this program?

If yes, please fill out the information below and someone will contact you:

Name:

Phone Number:

Street Address:

City:

State:

Zip: