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Program Feedback
Your Shopping Experience
Your insights will help us enhance our services. Please take a moment to share your thoughts on your experience so far.
Please tell us how satisfied you are with the following:
(Required)
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Quality of Food
Food Variety
Checkout Experience
How easy was it for you to use our website to find and purchase products?
(Required)
Very Easy
Easy
Neutral
Difficult
Very Difficult
Did you receive your order within the expected timeline (5-7 business days)?
(Required)
Yes
No
Please provide details
Did you receive your order at the correct address?
(Required)
Yes
No
Please provide details
Did you receive a complete order – meaning, was everything you ordered included in your deliveries?
(Required)
Yes
No
Please provide details
Overall, how satisfied are you with the online shopping and checkout experience?
(Required)
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Do you have any suggestions for how we can improve the online store (food choices, website, etc.)?
Your Medical Care
The following questions are about your experiences with your doctors’ office
How often does your personal doctor explain things in a way that is easy to understand?
(Required)
Never
Sometimes
Usually
Always
How often do you feel your personal doctor listens carefully and respectfully to you?
(Required)
Never
Sometimes
Usually
Always
To what extent do you experience stress around managing your health?
(Required)
Never
Sometimes
Usually
Always
How confident do you feel about managing your health?
(Required)
Not Confident
Somewhat Confident
Confident
Very Confident
Extremely Confident
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