Exit this survey Caller Satisfaction Survey 1. Default Section Question Title The Iowa Poison Control Center (IPCC) is always seeking ways to improve our services. If you have called the IPCC, please take a moment to complete the survey below. We value your feedback and carefully consider your opinions as we strive to exceed your expectations. Question Title * 1. What is the approximate date of your call to the Iowa Poison Control Center? Date: Date Question Title * 2. What is your zip code? Zip Code: Question Title * 3. Please answer the following questions using the rating system: Poor Average Good Excellent Was your call answered promptly? Was your call answered promptly? Poor Was your call answered promptly? Average Was your call answered promptly? Good Was your call answered promptly? Excellent Was your specialist friendly and courteous? Was your specialist friendly and courteous? Poor Was your specialist friendly and courteous? Average Was your specialist friendly and courteous? Good Was your specialist friendly and courteous? Excellent Did the specialist seem knowledgeable? Did the specialist seem knowledgeable? Poor Did the specialist seem knowledgeable? Average Did the specialist seem knowledgeable? Good Did the specialist seem knowledgeable? Excellent Were the instructions easy to understand? Were the instructions easy to understand? Poor Were the instructions easy to understand? Average Were the instructions easy to understand? Good Were the instructions easy to understand? Excellent Comments: Question Title * 4. Were you offered a FREE poison prevention packet? Yes No If you'd like a FREE poison prevention packet, please leave name and address below or place your order through our website, www.iowapoison.org. Question Title * 5. It is widely acknowledged that poison centers save money by reducing the unnecessary use of more costly health care resources. In an effort to demonstrate the effectiveness of the IPCC in controlling health care costs in Iowa, please answer the next two questions. All of your answers will be kept confidential. If you have any questions, please contact the Iowa Poison Control Center at 1-800-222-1222.Do you consent to participating in the cost analysis survey? Yes No Question Title * 6. What would you have done if the Poison Center were not available? Question Title * 7. What type of health insurance do you have for the patient? Mark all that apply for the patient Type of Health Insurance: Private Insurance Private Insurance Type of Health Insurance: State Medical Assistance State Medical Assistance Type of Health Insurance: No Medical Coverage No Medical Coverage Type of Health Insurance: Unknown Coverage Unknown Coverage Type of Health Insurance: Name of Insurance Company: Question Title * 8. May we contact you regarding your experience? Yes No Name and Phone Number or email address Question Title * 9. Do you have any further comments or suggestions on how we can improve our services? Done