2010_Client Simulation - Velcade Reimbursement Assistance Program

This survey is provided to assist you in the evaluation of Agents who take the simulation calls. Please respond to each of the items, providing whatever supporting comments you may have. Also, the final field is a 'free-text' field provided for your overall comments.



A red asterisk (*) indicates required questions.


  1. Please provide the name of the Case Manager with whom you spoke.*


  1. Which call scenario did you use?*


  1. Did the Case Manager address the major discussion points as outlined below for each question?*
    Yes
    No
    N/A


  1. Please provide any additional comments for item #3 above.


  1. Did the Case Manager use the proper greeting?*
    Yes
    No
    N/A


  1. Please provide any additional comments for item #5 above.


  1. Did the Case Manager acknowledge the reason for the call?*
    Yes
    No
    N/A


  1. Please provide any additional comments for item #7 above.


  1. Did the Case Manager obtain your name?*
    Yes
    No
    N/A


  1. Please provide any additional comments for #9


  1. Did the Case Manager project a positive tone?*
    Yes
    No
    N/A


  1. Please provide any additional comments for item #11 above.


  1. Did the agent conmmunicate in a clear manner?*
    Yes
    No
    N/A


  1. Please provide any additional comments for item #13.


  1. Did the Case Manager use appropriate language?*
    Yes
    No
    N/A


  1. Please provide any additional comments for item #15 above.


  1. Did the Case Manager demonstrate active listening?*
    Yes
    No
    N/A


  1. Please provide any additional comments for item #17.


  1. Did the Case Manager use an appropriate pace throughout the call?*
    Yes
    No
    N/A


  1. Please provide any additional comments for item #19 above.


  1. Did the Case Manager offer additional assistance?*
    Yes
    No
    N/A


  1. Please provide any additional comments for item #21 above.


  1. Did the Case Manager effectively summarize the call?*
    Yes
    No
    N/A


  1. Please provide additional comments for item #23 above.


  1. Did the Case Manager close the call by using Velcade Reimbursement branding?*
    Yes
    No
    N/A


  1. Please provide any additional comments for item #25 above.


  1. Please provide any additional or overall comments you have with regard to this call