Member Service Survey Step 1 of 4 25% When you contacted Interface, what service(s) were you requesting?*Please check all that apply. *Service not offered under all contracts Select All Pharmacy Intervention Program* Approval for insurance benefits (Mental Health and/or Substance Abuse Insurance Benefit*) Work/Life Resource* (Child care, elder care) EAP (free) Short-Term Counseling Legal Resource (will kit, attorney) Financial Resource (financial planner, debt counseling) Other Review Interface EAPDo you remember who helped you at Interface EAP?* Yes No Name of person who helped you at Interface EAPPromptness in responding to your call(s):* Excellent Good Fair Poor Ability of our staff in handling your request:* Excellent Good Fair Poor Explanation of the services through Interface:* Excellent Good Fair Poor Overall satisfaction with our referral process:* Excellent Good Fair Poor Confidence that we could assist you in the future:* Excellent Good Fair Poor Confidence that we could assist a co-worker:* Excellent Good Fair Poor Review Your ProviderDo you remember your provider's name?* Yes No Name of ProviderPromptness in responding to your call(s):* Excellent Good Fair Poor Promptness in scheduling appointments:* Excellent Good Fair Poor Ability of the provider in handling your issues:* Excellent Good Fair Poor Overall satisfaction of the provider:* Excellent Good Fair Poor Confidence in requesting provider in future:* Excellent Good Fair Poor Confidence in recommending provider to a friend:* Excellent Good Fair Poor Contact InformationCase #*Email May we contact you regarding your experience with our services? Yes No NamePhoneBest Time to Call