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Provider Evaluation Survey
Periodically, Med-X performs quality assurance surveys for all of our network providers. This allows Med-X to continually provide excellent service to our clients. Your feedback is a vital part of our quality assurance program. Please take the time to complete this survey and return it to us in the envelope provided. Please remember, we are here to make your recovery as comfortable as possible. If a provider is not performing up to your expectations, please call us right away.
1. Did you receive a Welcome Kit and Letter from Med-X?
Yes
No
2. Were you contacted by a Med-X Transportation Coordinator to discuss your transportation needs?
Yes
No
3. For your most recent transport, was your transport on time?
Yes
No
If no, how late did your transport arrive?
4. Did your transport arrive at your appointment on time?
Yes
No (Please Explain)
5. Was the vehicle clean and in proper working order?
Yes
No (Please Explain)
6. Were the drivers and attendants uniformed or professionally dressed?
Yes
No (Please Explain)
7. Were you contacted by the provider?
Yes
No (Please Explain)
For the next questions, please use the following scale
1-Very Dissatisfied 2-Somewhat Dissatisfied 3–Good 4-Very Good 5-Excellent
8. Overall, how would rate the services provided by the provider?
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5
9. Overall, how would rate the services provided by Med-X?
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4
5
10. Is there an employee of either Med-X or our provider that you feel deserves special recognition for their efforts?
Yes (Please Enter Name(s) below)
No
11. Please feel free to provide us with any comments you may have about Med-X or our providers.
Your name
Your Email (optional)
Thank you for your time!
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MED-X News: (Click below to see entire news release)
AAPPO Annual Forum
Med-X will be a sponsor at the 2010 Annual PPO Forum being held at the Marriott Resort, in Marco Island, Florida Jan 30-Feb 2.
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