Have you been helped by someone at the Senior Medicare Patrol, often known as SMP? If so, we would like to hear from you about your experience. 

Please feel free to share as much or as little as you want about your situation and what led you to the SMP for help.

This information will be shared publicly during Medicare Fraud Prevention Week. If you wish to not have your name shown, please don't fill out question one, the name field. 

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* 1. Please tell us your first name if you allow it to be shared with your testimonial publicly. If you don't, please leave this field blank. 

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* 2. What is your email? We will only email you if we have questions or need to follow up with something. This won't be given out to anyone. 

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* 3. What state do you live in? 

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* 4. What was your role when working with the SMP?

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* 5. How did you hear about the SMP?

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* 6. Do you remember who helped you? If so, what was their name?

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* 7. When were you helped (MM/YY)

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* 8. What did the SMP help you with? Please share your story of working with the SMP. Please don't share any personal details like your Medicare number or company names.

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* 9. What was the outcome of working with the SMP?

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* 10. What was your overall impression of working with the SMP?

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* 11. Would you recommend the SMP to a family or friend?

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