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Tell us about your organization:
Group ID Number (required): 
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Email:
Phone:
Company:
Contact:
 
 
 
 
 
Please rate your satisfaction with our services:
 
Enter the appropriate level of satisfaction relating to the quality of service received:
 
Customer Service
1. Overall service and performance:
2. Member services hours/availability:
3. Knowledge and professionalism of staff:
4. Response time to members calls:
5. Card Members satisfaction has been:
 
Implementation and Operations
6. Plan implementation and design:
7. ID card production and distribution:
8. Client services:
9. Troubleshooting and resolutions:
 
Managerial Reports
10. Informative value and structure of reports:
 
Retail Pharmacies
11. Pharmacy network quality and size:
12. Card recognition and service at participating pharmacies:
 
Clinical Services
13. Drug utilization management (clinical):
14. Clinical services and assistance:
15. Knowledge and professionalism of clinical staff:
 
Users of NMHC Preferred Mail Service Pharmacy
16. Mail service pharmacy's overall performance:
17. Mail service pharmacy's customer service:
18. Turn around time on mail service prescriptions:
19. Mail Service Pharmacy Provider:
 
Please make sure to mention any additional services you would like NMHC to provide and share any other comments or suggestions you may have in the Comments Field below:

Thank you for taking the time to complete this survey.