2012_ENBREL Access Specialist Site Visit Survey/Feedback


  1. ENBREL Access Specialist Name


  1. Physician Name


  1. Sales Representative Name


  1. Date of Visit


  1. Please rate the professionalism of your Enbrel Access Specialist (EAS).
    Excellent
    Good
    Fair
    Poor


  1. Please rate the knowledge of your EAS regarding the suite of services available to your office.
    Excellent
    Good
    Fair
    Poor


  1. Did the EAS explain how the suite of services can benefit your patients currently on Enbrel or considering Enbrel therapy?
    Excellent
    Good
    Fair
    Poor


  1. What information was most beneficial for your office?
    Support Card
    Support Services
    Reimbursement Services
    Site Visits
    All of the Above


  1. Would you recommend an ENBREL Access Specialist site visit to your colleagues for their patients on Enbrel therapy?
    Yes
    No


  1. Would you request an ENBREL Access Specialist site visit again in the future?
    Yes
    No


  1. Do you have any recommendations for improving the EAS site visits?


  1. Do you have any other feedback you would like to share regarding your ENBREL Access Specialist site visit?


  1. Any additional comments or recommendations that you'd like to make?





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