Contact UsRequest Info Get a Quote Satisfaction Survey Satisfaction Survey Which survey applies to me? Patient – You have called seeking behavioral health treatment for you or your family member. Provider – You are a behavioral healthcare provider in the MHC network. Customer – You are an HR professional or union official for one of the organizations MHC is contracted with. Satisfaction Survey What survey would you like to complete? * Patient Provider Customer Please rate the MHC telephone intake process * Excellent Very Good Good Fair Poor The intake process refers to your experience when first calling MHC. Please rate the responsiveness to your initial phone call * Excellent Very Good Good Fair Poor Please rate the assistance you received by the MHC Case Manager * Excellent Very Good Good Fair Poor The MHC Case Manager was the person you spoke with on the phone during the intake process. Would you recommend a family member or co-worker to use MHC's services? Yes No Were you referred to an MHC provider? Yes No A provider is a behavioral healthcare provider (psychiatrist, psychologist, social worker, counselor, etc.) that your MHC Case Manager referred you to. Please rate the provider(s) ability to understand your situation * Excellent Very Good Good Fair Poor If you connected with a behavioral health provider that MHC referred you to, please rate their ability to understand your situation. Please rate the provider(s) assistance in helping you reach your goals Excellent Very Good Good Fair Poor Which of the following situations or changes have you experienced because of using MHC's services? Please check all that apply. Decreased stress level Improved performance of daily routine activities (e.g.- work, chores, eating, sleep, conversations) Improved overall health and well-being Improved confidence in talking with health care professionals Improved ability to make healthcare decisions Did calling MHC help you avoid taking time off from work to deal with your issues? * Yes No Not Applicable On a scale of 1 to 10 with 1 being Least Productive and 10 being Most Productive, please rate how productive you were at work when you first called MHC. * On a scale of 1 to 10 with 1 being Least Productive and 10 being Most Productive, please rate how productive you are at work now. * Please rate the overall level of satisfaction with your treatment experience * Excellent Very Good Good Fair Poor Additional comments and/or suggestions: If you would like an MHC Case Manager to contact you about any current concerns, please provide your contact information so that we can follow up with you. Be sure to include a 10-digit phone number we can contact you at during daytime hours (9am-5pm EST). Please include your email address to be eligible for a chance to win a complimentary gift card from MHC! Please rate the following: MHC has a simplified, streamlined process with regards to treatment referrals, paperwork, etc. * Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree MHC Case Managers provide sufficient information regarding benefits and covered services when making a referral or during case consultations. * Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree MHC Case Management and Administrative Services staff are courteous and knowledgeable. * Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree MHC Case Management and Administrative Services staff are readily accessible and respond in a timely manner. * Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree MHC Case Managers assist in coordinating services for my patient when needed. * Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree I am satisfied with the Case Management and Administrative Services provided by MHC. * Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Comments and/or suggestions: Are you satisfied with the level of communication between MHC and your organization? * Yes No Are you satisfied with the utilization of MHC services? * Yes No Are your managers and supervisors knowledgeable about how to utilize the EAP as a management tool? * Yes No EAP stands for the Employee Assistance Program. How would you rate the quality and frequency of promotional materials? * Excellent Very Good Good Fair Poor How would you rate the overall quality of MHC services? * Excellent Very Good Good Fair Poor Would you recommend MHC to other organizations? * Yes No Would you like us to follow up with you regarding any matters? * Yes No How could we improve our services? What other services would you like MHC to provide? Contact Information for Follow-Up If you would like to receive a follow-up response from the MHC Management Team, please supply us with your contact information. Contact Name Contact Name First First Last Last Contact Title Contact Phone Number Contact Email reCAPTCHA If you are human, leave this field blank. Submit Δ
