Brand New Enrollee Monthly Survey - SRC

Thank you for choosing to enroll in Aetna coverage. To better serve our customers by making sure our products meet your needs, I want to take 5 minutes to ask you a few questions. Your answers are 100% anonymous,and your responses will not be shared with any parties outside of Aetna.

This survey is completely voluntary.

Which Aetna plans did you enroll in today?

2. How did you learn about the plan(s)?

3. What is the main reason that you decided to enroll in coverage?

Needed coverage for myself

Needed coverage for a dependent

Don’t need it today, but may need it in the future

Someone recommended it

No other options for medical coverage

Other

4. Have you ever had medical insurance prior to enrolling with us today?

• No – this is the first

• Yes – Medicaid

Yes - On my parent's plan

• Yes – Other (please describe):

Other

5. How long do you think you’ll keep the coverage?

6. Finally, I know you just enrolled – and we thank you! – but do you have any suggestions for how we can improve your customer experience?

Let me make sure I have your correct demographic information. I want to remind you that this survey is anonymous and your name or identifying information is not saved with your answers.

Age:

Gender

Number of dependents

Type of job

Approximate hours worked each week:

Company