Satisfaction Survey Satisfaction Survey Please take a few minutes to fill out this survey on the quality and effectiveness of service you received. Blessed Advocacy appreciates your honest feedback. All answers will be kept confidential. Thank you for your participation. I am the ClientPatientBothOther I learned about Blessed Advocacy from FriendInternetAdvocacy OrganizationMediaOther Have you worked with an advocate before? NoYes When and what was your experience – positive or negative – why? What type of services are you looking for? Advocacy Services Attend one or more doctor appointmentsAssist with questions for medical teamAdvocate for me (my loved one) with my medical team and/or insurance Care Management/Coordination Services Coordinate some or all appointmentsMonitor treatments (labs, test etc)Assist with transitioning of careCompile medical recordsHelp establish medical care Insurance Assist with benefitsAssist with finding a doctor or medical facility in my network Assist with obtaining MedicareMedicaidSSISSDI Would you recommend Blessed Advocacy to others? YesNoMaybe Why? Please provide additional feedback from your experience with blessed advocacy. What value did Blessed Advocacy bring to your situation? Reason for initial engagement Challenges/concerns you had and how they were handled Expectations/goals of engagement Final results List any areas in which our services could improve Name Address Phone Email
