Epilepsy Foundation Quality Assurance Form

Please fill out this form so we know how we performed in assisting you and your family

    Captionless Image
    This is a required question
    This is a required question
    Was the navigation facility easy to locate?
    Was there adequate parking at the navigation facility?
    Was the facility clean and presentable?
    Was the area within the facility where navigation is taking place clearly marked?
    If you had to wait to see a navigator, was your waiting time less than 30 minutes?
    Would you recommend navigation services at this facility to a friend?
    This is a required question
    Was the navigator's ID badge clearly visible?
    Was the navigator friendly?
    Was the navigator helpful in explaining the enrollment process?
    Was the navigator knowledgeable of the marketplace website?
    Did you choose your own coverage from the marketplace?
    Was your experience with this navigator positive overall?
    This is a required question
    Was the Health Insurance Marketplace website easy to understand?
    Were you able to navigate the Health Insurance Marketplace website without any technical problems?
    Were the plan options on the Health Insurance Marketplace website clearly explained?
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question