{"flag":true,"survey":{"guid":"917cb890-5562-43b7-b17e-0694fba72122","email":null,"title":"Health Plan Survey","centerAligned":false,"dirty":false,"createdDate":"2023-03-13T20:01:30.9920207","modifiedDate":"2023-03-13T20:01:30.9920207","activePageIndex":0,"pages":[{"guid":"e0140ed6-252d-4b79-9f2b-799f23b4c12b","title":null,"titleDisplay":"[Page 1]","description":null,"centerAligned":false,"dirty":false,"pageIndex":0,"activeQuestionIndex":13,"deleted":false,"deletedDate":null,"questions":[{"guid":"1ebc5249-63f9-4e6e-83b0-6a02c236cffc","questionType":"Text","title":"Thank you for taking the time to complete this survey. Your feedback will help us improve our health plan offerings and better meet your healthcare needs.","titleDisplay":"Thank you for taking the time to complete this survey. Your feedback will help us improve our health plan offerings and better meet your healthcare needs.","question":"{\"content\":\"Thank you for taking the time to complete this survey. Your feedback will help us improve our health plan offerings and better meet your healthcare needs.\"}","questionIndex":0,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"48fb8ab5-23b7-4e0c-8682-058f32274ecf","questionType":"Textbox","title":"Which health plan are you currently enrolled in?","titleDisplay":"Which health plan are you currently enrolled in?","question":"{\"title\":\"Which health plan are you currently enrolled in?\",\"requireAnswer\":true}","questionIndex":1,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"ec9bce42-c092-4718-9aca-3dfa3bb39afb","questionType":"Scale","title":"On a scale of 1 to 10, how satisfied are you with your health plan overall?","titleDisplay":"On a scale of 1 to 10, how satisfied are you with your health plan overall?","question":"{\"title\":\"On a scale of 1 to 10, how satisfied are you with your health plan overall?\",\"requireAnswer\":true,\"min\":\"1\",\"max\":\"10\",\"labels\":[\"\",\"\"]}","questionIndex":2,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"cd6d3149-9ee2-4bcc-aa81-090a2d3eb145","questionType":"Multiple Choice","title":"How easy is it to understand the benefits and coverage provided by your health plan?","titleDisplay":"How easy is it to understand the benefits and coverage provided by your health plan?","question":"{\"title\":\"How easy is it to understand the benefits and coverage provided by your health plan?\",\"choices\":[\"Very difficult\",\"Somewhat difficult\",\"Neither easy nor difficult\",\"Somewhat easy\",\"Very easy\"],\"addOtherAnswerOption\":false,\"addOtherLabel\":null,\"addOtherBlankMessage\":null,\"multiSelect\":false,\"allowAdditionalCommentsOption\":false,\"allowAdditionalCommentsLabel\":null,\"requireAnswer\":true}","questionIndex":3,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"96346fa5-7804-4120-8218-40dcbc82ab21","questionType":"Multiple Choice","title":"How satisfied are you with the network of healthcare providers available through your health plan?","titleDisplay":"How satisfied are you with the network of healthcare providers available through your health plan?","question":"{\"title\":\"How satisfied are you with the network of healthcare providers available through your health plan?\",\"choices\":[\"Not satisfied at all\",\"Somewhat satisfied\",\"Neutral\",\"Very satisfied\",\"Extremely satisfied\"],\"addOtherAnswerOption\":false,\"addOtherLabel\":null,\"addOtherBlankMessage\":null,\"multiSelect\":false,\"allowAdditionalCommentsOption\":false,\"allowAdditionalCommentsLabel\":null,\"requireAnswer\":true}","questionIndex":4,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"5aa5bfa8-12b1-4a10-94e7-4b6088a72c8a","questionType":"Multiple Choice","title":"Have you had any issues with your health plan's claims processing or payment?","titleDisplay":"Have you had any issues with your health plan's claims processing or payment?","question":"{\"title\":\"Have you had any issues with your health plan's claims processing or payment?\",\"choices\":[\"Yes\",\"No\"],\"addOtherAnswerOption\":false,\"addOtherLabel\":null,\"addOtherBlankMessage\":null,\"multiSelect\":false,\"allowAdditionalCommentsOption\":true,\"allowAdditionalCommentsLabel\":\"If yes, please describe the issue(s) you have experienced:\",\"requireAnswer\":true}","questionIndex":5,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"6b012e9c-44c4-47f2-b339-e438ccea38c3","questionType":"Multiple Choice","title":"Have you had any issues with accessing healthcare services through your health plan?","titleDisplay":"Have you had any issues with accessing healthcare services through your health plan?","question":"{\"title\":\"Have you had any issues with accessing healthcare services through your health plan?\",\"choices\":[\"Yes\",\"No\"],\"addOtherAnswerOption\":false,\"addOtherLabel\":null,\"addOtherBlankMessage\":null,\"multiSelect\":false,\"allowAdditionalCommentsOption\":true,\"allowAdditionalCommentsLabel\":\"If yes, please describe the issue(s) you have experienced:\",\"requireAnswer\":true}","questionIndex":6,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"5d55f269-04bf-40a9-8cf2-e16ccbb66e80","questionType":"Multiple Choice","title":"How easy is it to contact your health plan's customer service when you have questions or issues?","titleDisplay":"How easy is it to contact your health plan's customer service when you have questions or issues?","question":"{\"title\":\"How easy is it to contact your health plan's customer service when you have questions or issues?\",\"choices\":[\"Very difficult\",\"Somewhat difficult\",\"Neither easy nor difficult\",\"Somewhat easy\",\"Very easy\"],\"addOtherAnswerOption\":false,\"addOtherLabel\":null,\"addOtherBlankMessage\":null,\"multiSelect\":false,\"allowAdditionalCommentsOption\":false,\"allowAdditionalCommentsLabel\":null,\"requireAnswer\":true}","questionIndex":7,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"2567292a-8ce9-43d6-9b7d-1bb61a313ff7","questionType":"Multiple Choice","title":"How satisfied are you with the customer service provided by your health plan?","titleDisplay":"How satisfied are you with the customer service provided by your health plan?","question":"{\"title\":\"How satisfied are you with the customer service provided by your health plan?\",\"choices\":[\"Not satisfied at all\",\"Somewhat satisfied\",\"Neutral Very satisfied\",\"Extremely satisfied\"],\"addOtherAnswerOption\":false,\"addOtherLabel\":null,\"addOtherBlankMessage\":null,\"multiSelect\":false,\"allowAdditionalCommentsOption\":false,\"allowAdditionalCommentsLabel\":null,\"requireAnswer\":true}","questionIndex":8,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"a981fe77-0253-4caf-a5a1-9f6c8a66fc73","questionType":"Multiple Choice","title":"Have you utilized any wellness programs or resources offered by your health plan?","titleDisplay":"Have you utilized any wellness programs or resources offered by your health plan?","question":"{\"title\":\"Have you utilized any wellness programs or resources offered by your health plan?\",\"choices\":[\"Yes\",\"No\"],\"addOtherAnswerOption\":false,\"addOtherLabel\":null,\"addOtherBlankMessage\":null,\"multiSelect\":false,\"allowAdditionalCommentsOption\":false,\"allowAdditionalCommentsLabel\":null,\"requireAnswer\":true}","questionIndex":9,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"01027be2-f277-46c4-89f2-f46c47d1c02b","questionType":"Multiple Choice","title":"If yes, which wellness programs or resources have you used? (select all that apply)","titleDisplay":"If yes, which wellness programs or resources have you used? (select all that apply)","question":"{\"title\":\"If yes, which wellness programs or resources have you used? (select all that apply)\",\"choices\":[\"Fitness classes or gym membership reimbursement \",\"Nutrition counseling\",\"Smoking cessation program\",\"Mental health resources\"],\"addOtherAnswerOption\":true,\"addOtherLabel\":\"Other (please specify)\",\"addOtherBlankMessage\":\"Please specify.\",\"multiSelect\":true,\"allowAdditionalCommentsOption\":false,\"allowAdditionalCommentsLabel\":null,\"requireAnswer\":false}","questionIndex":10,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"9918567e-16dd-4bd4-8fa1-f44b905496a8","questionType":"Multiple Choice","title":"How likely are you to recommend your health plan to a friend or family member?","titleDisplay":"How likely are you to recommend your health plan to a friend or family member?","question":"{\"title\":\"How likely are you to recommend your health plan to a friend or family member?\",\"choices\":[\"Not likely at all\",\"Somewhat likely\",\"Neutral\",\"Very likely\",\"Extremely likely\"],\"addOtherAnswerOption\":false,\"addOtherLabel\":null,\"addOtherBlankMessage\":null,\"multiSelect\":false,\"allowAdditionalCommentsOption\":false,\"allowAdditionalCommentsLabel\":null,\"requireAnswer\":true}","questionIndex":11,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"1b35efd4-c6b4-4dd9-a9e1-d1b18c2054df","questionType":"Comment Box","title":"Is there anything else you would like to share about your experience with your health plan?","titleDisplay":"Is there anything else you would like to share about your experience with your health plan?","question":"{\"title\":\"Is there anything else you would like to share about your experience with your health plan?\",\"requireAnswer\":false}","questionIndex":12,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"66087aaf-cc14-4f4c-b6ba-0052c1c69c88","questionType":"Text","title":"Thank you for your time and feedback. Your responses will help us improve our health plan offerings and better serve our members. If you have any additional comments or concerns, please feel free to contact us.<div><br></div><div>[Health Plan Name and Contact Information]</div>","titleDisplay":"Thank you for your time and feedback. Your responses will help us improve our health plan offerings and better serve our members. If you have any additional comments or concerns, please feel free to contact us.<div><br></div><div>[Health Plan Name and Contact Information]</div>","question":"{\"content\":\"Thank you for your time and feedback. Your responses will help us improve our health plan offerings and better serve our members. If you have any additional comments or concerns, please feel free to contact us.<div><br></div><div>[Health Plan Name and Contact Information]</div>\",\"profile\":\"\"}","questionIndex":13,"dirty":false,"deleted":false,"deletedDate":null}]}],"colorTheme":{"id":160,"guid":"f34e29a6-6c4f-4209-824d-e1992392eed3","name":"Pantone 2020: Classic Blue","isSystem":true,"dirty":false,"accountId":null,"usedCount":0,"profile":{"logoBackColor":null,"titleBackColor":"#53B0AE","titleTextColor":"#ffffff","pageTitleBackColor":"#64B7B6","pageTitleTextColor":"#ffffff","backColor":"#efefef","backImage":"","backIcon":"","backSize":"","backSource":"upload","pageBackColor":"#ffffff","pageDescriptionTextColor":"#000000","validationTextColor":"#ff0000","questionPrefixTextColor":"#ff0000","questionTitleTextColor":"#000000","questionFontWeight":"300","questionTextItalic":false,"questionTextUnderline":false,"answerFontWeight":"300","answerTextItalic":false,"answerTextUnderline":false,"answerTextColor":"#000000","font":"Montserrat"}},"profile":{"language":{"defaultLanguage":"En"},"display":{"surveyTitleOn":true,"pageTitlesOn":true,"pageNumbersOn":false,"questionNumbersOn":true,"requiredAsterisksOn":true,"previousButtonsOn":true,"progressBar":{"on":false,"position":null,"type":"question"},"exitLinkOn":false,"displayFormat":"classic","backgroundOpacity":1.0,"multiChoiceSymbolType":"classic","textboxStyle":"line","watermark":{"url":null,"position":null,"width":null,"height":null,"opacity":0.0}},"footer":{"removeBrandFooter":false,"customFooter":""},"alerts":{"enableDailyAlerts":true,"enableEveryResponseAlerts":false},"logo":{"place":"none","align":null,"url":null,"source":null,"width":null,"height":null},"choiceRnd":{"type":"off","scope":"all","questions":[],"exceptLast":[]},"questionRnd":{"type":"off","scope":"all","questions":[]},"pageRnd":{"type":"off","scope":"all","pages":[]},"buttons":{"previous":null,"next":null,"done":null},"messages":{"invalidAnswer":null,"requiredAnswer":null,"finish":null,"disqualification":null,"closed":null,"alreadyTaken":null,"quotaReached":null},"endPages":{"thankYouRedirectionSeconds":null,"thankYouRedirectUrl":null,"thankYouRecipientEmail":null,"thankYouRecipientCc":null,"thankYouEmailSubject":null,"thankYouEmailBody":null,"disqualificationRedirectionSeconds":null,"disqualificationRedirectUrl":null,"alreadyTakenRedirectionSeconds":null,"alreadyTakenRedirectUrl":null,"closedRedirectionSeconds":null,"closedRedirectUrl":null,"quotaReachedRedirectionSeconds":null,"quotaReachedRedirectUrl":null},"variables":[],"integration":{"salesforceRefreshToken":null,"salesforceOn":false,"googleAnalyticsTrackingCode":null,"salesforceConnects":[],"hubspotRefreshToken":null,"hubspotOn":false,"hubspotConnects":[]},"quota":null,"quotaReached":false,"hasIntroPage":false,"requestedAppraisal":false,"autoSave":false,"autoFill":false,"sentMails":[]},"rules":[],"canManageDesign":false,"canViewDesign":false,"canManageSend":false,"canViewSend":false,"canManageAnalyze":false,"canViewAnalyze":false,"isShared":false,"questionCount":14,"responseCount":0,"collaboratorCount":0,"collectorCount":0,"lastResponseOn":null,"isSample":false,"closed":false},"title":"Health Plan Survey","content":null,"industries":[]}
 
 
Not at all likely Extremely likely
0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10
0 100
/ /
:
 
 
or drag and drop file here drop file here!

Free Survey Template