Landing - Customer Survey

Customer Survey

Section 1: General Information

Name

Section 2: Plan Satisfaction

1. How satisfied are you with the coverage provided by your health insurance plan?

Very satisfied Satisfied Neutral Dissatisfied Very dissatisfied

2. Which of the following services have you used in the past year? (Select all that apply)

General practitioner visits Specialist visits Hospital care Dental services Optical care Emergency services Other (Please specify)

3. How satisfied are you with the ease of filing claims?

Very satisfied Satisfied Neutral Dissatisfied Very dissatisfied

4. How would you rate your overall experience with our customer service?

Excellent Good Average Poor Very poor

4. How easy is it to understand the benefits and terms of your health insurance plan?

Very easy Easy Neutral Difficult Very difficult

Section 3: Specific Aspects

Value for money

Excellent Good Average Poor

Availability of providers (doctors, hospitals, etc.)

Excellent Good Average Poor

Speed of claims processing

Excellent Good Average Poor

Range of services covered

Excellent Good Average Poor

Section 4: Additional Feedback

What areas of our health insurance plan could be improved?

Would you recommend this insurance plan to others?

Yes No Maybe

Is there any other feedback you would like to provide?

Day1 Health complies with the principles of open enrolment, community rating and cross-subsidisation and does not discriminate or refuse membership on the basis of race, age, gender, marital status, ethnic or social origin, sexual orientation, pregnancy, disability, state of health, geographical location or any other means of discrimination.