Survey for Health Professionals Medication Access Program

Please read each of the statements carefully, and circle the number below the statement that corresponds to your opinion. Thank you very much for your time and effort in completing this survey. Please return the completed survey to: MAP, 1120 15th Street, Room FI-1063, Augusta University Medical Center, Augusta, GA 30912; 706-721-0131; FAX: 706-721-0754

I am aware of the services that the Medication Access Program (MAP) offers to transplant patients. ^*
MAP is helpful in providing information regarding the availability of medication assistance programs for transplant patients. ^*
MAP is helpful in providing instructions for completion of applications to medication assistance programs. ^*
MAP personnel are friendly and courteous in their interactions with me. ^*
MAP effectively communicates information about medication assistance programs. ^*
MAP has been effective in assisting me or my patients obtain medications. ^*
MAP personnel appear to be knowledgeable about medication assistance programs and application procedures. ^*
Please provide additional comments regarding MAP
Are there any ways that MAP can better serve you or your patients?
* Required