Please use the form below to provide comments about Aexcel. For additional information, please visit our public website at www.aetna.com and do a search for "Performance networks" or "Aexcel."
	If you wish to register a complaint about Aexcel, please see the Understanding Aexcel brochure for more information. If you want to register a complaint about a doctor, please contact member services at the phone number on your member ID card.
	Important information: The "View Clinical Quality and Efficiency" tab is available only to registered Aetna Navigator® users. If you select answers d) "Not too" or e) "Not at all" for any of the questions below, please provide a brief explanation using the text box at the end of the survey.
1.	What is your overall experience with Aexcel?
		Extremely positive
		Very positive
		Somewhat positive
		Not too positive
		Not positive at all
		Does not apply
2.	What is the most important reason why you used the "View Clinical Quality and Efficiency" features today?
		To see my doctor's clinical quality and efficiency information
		To see how my doctor's performance compares with other doctors
		To learn more about a new doctor before making a decision to see him/her
		Other
		Did not use this feature [please skip to question 9]
3.	How useful was the "View Clinical Quality and Efficiency" information?
		Extremely useful
		Very useful
		Somewhat useful
		Not too useful
		Not at all useful
4.	How did the clinical quality and efficiency information help you make a health care decision?
		Decided to see a certain doctor
		Decided not to see a certain doctor
		Decided to change doctors
		Decided to not change a doctor
5.	How satisfied are you with the format in which the "View Clinical Quality and Efficiency" information is presented?
		Completely satisfied
		Very satisfied
		Somewhat satisfied
		Not too satisfied
		Not at all satisfied
6.	How satisfied are you with the content of the "View Clinical Quality and Efficiency" information?
		Completely satisfied
		Very satisfied
		Somewhat satisfied
		Not too satisfied
		Not at all satisfied
7.	How satisfied are you with the ease of use of "View Clinical Quality and Efficiency" information?
		Completely satisfied
		Very satisfied
		Somewhat satisfied
		Not too satisfied
		Not at all satisfied
8.	How likely would you be to use "Clinical Quality and Efficiency" information again?
		Definitely likely
		Very likely
		Somewhat likely
		Not too likely
		Not at all likely
9.	Please share other comments regarding your experience with Aexcel.
10.	Please indicate your gender (optional):
	Male Female
11.	Please indicate your age (optional):
	18-30 31-50 51-65 Over 65