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2014
October
T
The Burchfield Group Survey
The Burchfield Group Survey
The Burchfield Group Survey
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Exit Survey
Thank you for participating in The Burchfield Group survey.
I appreciate your time and sharing of your opinions. Your feedback helps us continually enhance the service our company provides.
Please click CONTINUE to begin and advance through the survey. Thank you again for your input.
Kind regards,
Brian Bullock, RPh, Founder & CEO
The Burchfield Group
What factors drove your decision to hire The Burchfield Group? (Select all that apply.)
Quality outcomes
Subject matter expertise
Affordability
Value/ROI
Experience with similar organizations
Innovative solutions
Other
How satisfied are you with the following:
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
Contracting process
Engagement of Burchfield staff
Quality of service and deliverables
Value of the service to your organization
Investment cost
Understanding and responsiveness to your needs
Timeliness of deliverables
Invoicing process
Who is your Burchfield managing consultant?
Is your Burchfield managing consultant meeting your needs? (Move the slider to rate between 0 and 5.)
Very Unsatisfied
Very Satisfied
-
Overall, how satisfied are you with the Burchfield team who worked on your project? (Move the slider to rate between 0 and 5.)
Very Unsatisfied
Very Satisfied
-
Any additional comments?
Can your response be shared with their supervisor(s)?
Yes
No
Would you recommend The Burchfield Group to a colleague or friend? (Move the slider to rate between 0 and 5.)
Very Unlikely
Very Likely
-
Any suggestions to improve your overall experience?
Would you consider being a reference for The Burchfield Group? (We will notify you prior to any use of your reference information.)
Yes
No
Other
If yes, please provide:
Name
:
Title
:
Company Name
:
Address
:
City
:
State
:
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Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
Zip
:
Phone
:
Email Address
:
Are there other services that The Burchfield Group would be a good fit to provide to you now or in the future? (Select all that apply.)
PBM RFP
PBM renewal
Pharmacy benefit consulting
PBM implementation oversight
PBM audits
Medicare audits
Data validation audits
Additional comments
Would you like someone from Burchfield to get in touch with you? If so, please provide the following information.
Name
:
Title
:
Company Name
:
Address
:
City
:
State
:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
Zip
:
Phone
:
Email Address
:
Please describe your inquiry:
The Burchfield Group • 1295 Northland Drive, Suite 350, St. Paul, MN 55120 • burchfieldgroup.com • 800-778-1359
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