Provider Connections Part C - Early Intervention Credentialing and Enrollment Funded by the Illinois Department of Human Services

Early Intervention Credentialing & Enrollment
Satisfaction Survey
November 1, 2006

Please answer the following questions related to the services offered by Provider Connections. Your feedback is important to us and will be used to help us assess the early intervention credentialing and enrollment process, as well as technical assistance offered by our office.

To help us improve our service, comments are required for comments rating average or below.


      Last Name: (optional)       First Name: (optional)

      Agency Name:       Credential Type:


  1. Rate Provider Connections website's design and ease of use, including working links and downloadable documents.

           Excellent            Good            Average            Poor            Very Poor

  2. Rate the appropriateness and timeliness of Provider Connections website's content.

           Excellent            Good            Average            Poor            Very Poor

  3. Rate the clarity of instructions in written materials.

           Excellent            Good            Average            Poor            Very Poor

  4. Rate your satisfaction with Provider Connections staff's helpfulness and technical assistance over the phone.

           Excellent            Good            Average            Poor            Very Poor

  5. Rate Providers Connections staff's courtesy and friendliness when providing assistance.

           Excellent            Good            Average            Poor            Very Poor

  6. Rate the credentialing process turnaround time.

           Excellent            Good            Average            Poor            Very Poor

  7. Rate the effectiveness of Provider Connections' public awareness (promotional) materials.

           Excellent            Good            Average            Poor            Very Poor


  Do you have any comments?