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2012
August
B
Brand New Enrollee Monthly Survey - SRC
Brand New Enrollee Monthly Survey - SRC
0%
Exit Survey »
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?
Limited medical PPO,
Hospital indemnity (AVHP),
Fixed benefits plan (AVFBP),
Dental,
Term Life,
Short-term Disability,
Vision
2. How did you learn about the plan(s)?
-- Select --
At work In a meeting?
At work On a web site?
At work On a poster?
At work Through a co-worker?
Mailer to my home?
From an email
By phone call to your home?
By Text to your phone?
Other:
Other
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?
-- Select --
1-3 months
4-6 months
More than 6 months
Other
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:
-- Select --
26 or younger
27 - 30
30 - 35
36 - 40
41 - 50
51 - 60
61 or older
Gender
-- Select --
Male
Female
Number of dependents
-- Select --
0 - none
1 - Spouse only
2 - Spouse + 1 child
3 - Spouse + more than 1 child
1 - Child only
2 - Children
Type of job
Approximate hours worked each week:
-- Select --
less than 10
11 - 15
16 - 20
21 - 25
26 - 30
30 - 39
40 or more
Company
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