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Beneficiary Satisfaction Survey
7
Questions
START
HIPAA
Compliance
1
On which island did you last visit the Medicaid Office?
*
This field is required.
Saipan
Tinian
Rota
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2
What was the purpose of your visit?
*
This field is required.
If selection is not listed, please indicate in the comments section.
New or Returning Applicant
Renewal Redetermination
Pick-up Medicaid Card
Add/Withdraw a Dependent
Follow-up on Application
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3
Were you able to complete the purpose of your visit?
*
This field is required.
Please provide details in the comments section if your response is no.
Yes
No
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4
Is the current Medicaid walk-in hours convenient for you?
*
This field is required.
Yes
No
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5
Select all options that would be more convenient for you
Open on Saturdays from 7:30am - 11:30am
Open every Friday from 7:30am - 1:00pm
Extending walk-in hours to 3:30pm on Mondays thru Thursdays
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6
How would you rate:
*
This field is required.
Customer Service
Professionalism
Overall Experience
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7
Please leave a comment to let us know how we can improve our operations to serve you better.
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