2013_SHARES Program Enrollment Simulations



  1. Please provide the name of the agent with whom you spoke.


  1. Did the agent brand the call as the Supprelin LA Support Center?

    Yes
    No
    Not Applicable


  1. Please provide any additional comments for item #2 above


  1. Did the agent acknowledge the reason for the call?

    Yes
    No
    Not Applicable


  1. Please provide any additional comments for item #4 above.



  1. Did the agent explain the SHARES program concisely and effectively?

    Yes
    No
    Not Applicable


  1. Please provide any additional comments for item #6 above.



  1. Did the agents clearly explain your SHARES program payments options (if applicable)?


    Yes
    No
    Not Applicable


  1. Please provide any additional comments for item #8 above.



  1. Did the agent explain the next steps in the process clearly and effectively?


    Yes
    No
    Not Applicable


  1. Please provide any additional comments for item #10 above.



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