Provider Survey

Provider Survey

Your opinion is extremely important and we will use it to improve the quality of our care.

Please take a few minutes to fill out this survey.
Items marked with * require a response.
- Please rate CompreCare Rx in terms of being Exceptional, Good, Fair, Poor or N/A.
- The customer support/helpfulness of the CompreCare Pharmacy staff*
  - Exceptional
  - Good
  - Fair
  - Poor
  - N/A
- The ease of the referral process and enrollment documents*
  - Exceptional
  - Good
  - Fair
  - Poor
  - N/A
- The clinical support and skills from our pharmacists and staff*
  - Exceptional
  - Good
  - Fair
  - Poor
  - N/A
- The ease of the prior authorization process for prescriptions*
  - Exceptional
  - Good
  - Fair
  - Poor
  - N/A
- The pharmacy staff’s ability to help you manage your patient’s medication therapy*
  - Exceptional
  - Good
  - Fair
  - Poor
  - N/A
- The pharmacy staff’s ability to provide your patients with financial assistance*
  - Exceptional
  - Good
  - Fair
  - Poor
  - N/A
- The pharmacy staff’s ability to notify you with problems regarding a patient’s prescription*
  - Exceptional
  - Good
  - Fair
  - Poor
  - N/A
- The responsiveness of our pharmacy staff to your requests or questions*
  - Exceptional
  - Good
  - Fair
  - Poor
  - N/A
- The pharmacy’s ability to improve outcomes for your patients*
  - Exceptional
  - Good
  - Fair
  - Poor
  - N/A
- Your overall CompreCare Rx experience*
  - Exceptional
  - Good
  - Fair
  - Poor
  - N/A
Additional comments regarding how we can improve our services:
Your Name
First Last
- What is your practice name?
- What is your practice phone number?
- What is your email address?
- What is your practice address?
  Street Address City State ZIP Code
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Your opinion is extremely important and we will use it to improve the quality of our care.