Attendee survey | Medi-Cal Managed Care Health Care Options

If you attended one of our information sessions, take this Attendee survey. Choose only one answer for each question unless we tell you otherwise.

What was the reason for your visit?

Need help with understanding the Packet

Need help with completing the Choice Form

Drop off documents

Finger-print

Came with a friend

Other

How well did you understand your health plan choices after speaking with the Health Care Options Representative?

5 - I understood my Health Plan Choices.

4 - I understood my Health Plan Choices, but still had questions.

3 - I was a little confused about my Health Plan Choices, and still had questions.

2 - I was confused about my Health Plan Choices.

1 - I did not understand my Health Plan Choices at all.

How easy was it to understand the Health Care Options Representative?

5 - I understood everything the speaker was saying.

4 - I understood most of what the speaker was saying.

3 - I understood most of the words, but still had trouble.

2 - I had problems understanding the speaker's explanations.

1 - I could not understand the speaker's explanations.

Did the Health Care Options Representative resolve your issue or answer your question?

Yes

Was the information provided in the Health Care Options Packet easy to understand?

5 - The material and instructions were very clear

4 - I understood most of the material

3 - I understood some of the material

2 - The material was hard to understand

1 - The material was very hard to understand

Please rate your overall satisfaction with the services you received today.

5 - Very Satisfied

4 - Satisfied

3 - Average

2 - Unsatisfied

1 - Very Unsatisfied

Which of the following Health Care Options services were you aware of? Please choose all that apply.

Health Care Options Website

E-Mail

Telephone

Mail

Live chat online

Presentation Site

Was not aware of other services