Consumer Satisfaction Survey for Marketplace Navigators
Thank you for helping us to improve our services by filling out this brief survey today.
Indicate the Name of the Navigator Who Assisted You. *
How did you hear about Navigator Services? Check the main one that encouraged you to make an appointment *
If you chose "Agency/Organization" or "Other" to the question above, please indicate the specific source.
Your answer
The navigator treated me with courtesy and respect.
Strongly Disagree
Strongly Agree
The navigator provided helpful information.
Strongly Disagree
Strongly Agree
I would refer a family member or friend to this navigator.
Strongly Disagree
Strongly Agree
Please feel free to provide any feedback about your experience with a navigator today. Thank you!
Your answer
Please provide your name and phone number if you are willing to provide us with a testimonial or want to share your enrollment story with the media.
Your answer
Please provide your name and phone number if you want a call back from a Navigator Supervisor.
Your answer
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