Provider Relations Intake Survey

1. On a scale of 1-5, how satisfied are you with the new intake model? * 1 (not at all satisfied) 2 3 4 5 (very satisfied)

2. Are you receiving more timely responses via the new intake model process? * Yes No

3. Are your issues being resolved more quickly? * Yes No

4. Are you able to clearly understand who your provider rep is and which region you belong to? * Yes No

5. Are the instructions on the intake easy to follow? * Yes No

6. Is the intake form easy to find on the Meridian website? * Yes No

Would you like a representative to follow up with you regarding your feedback? * Yes No