WellCare Health Maintenance Feedback
Please take a few minutes to fill out this survey on the relevance and quality of service you received. WellCare Health Maintenance values your feedback and your responses will be used to improve our services. Thank you for your input.
Sign in to Google to save your progress. Learn more
I consent to allow WellCare Health Maintenance Inc. to collect and process my personal information and other personal data in this survey in accordance with the Data Privacy Act of 2012 for WHM to develop new products and services.
 *
1. When was the last time you availed of Wellcare’s services/assistance? *
2. What kind of medical service did you avail?
Clear selection
3. Please indicate name of hospital/clinic
4. How easy was it to find an accredited doctor/medical facility in your area? *
5. How satisfied are you with the quality of service provided by the doctors and medical facilities available  in your plan? *
6. How easy was it to avail of our services or file a claim with us? *
7. If you have availed of our services/filed a claim, how happy are you with the outcome? *
8. How would you rate the performance of our employees based on the following areas ? *
Excellent
Good
Fair
Poor
Very poor
Attentiveness to your request
Friendliness
Knowledge on your plan coverage
9. Based on your overall experience with WellCare, how likely are you to recommend us to others? (10 Likely - 1 Unlikely) *
10.  Please tell us what you liked  most about WellCare.
11.  Please tell us how we can improve your experience.
12. Do you have any other comments, questions, or concerns?
Fullname
Company Name
Contact Number
Email Address
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of WELLCARE HEALTH MAINTENANCE INC.

Does this form look suspicious? Report

Google Forms