Module Rating Form Survey

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1. This rating form takes less than two minutes to complete. Thank you! What module are you rating? ID# Module Title E1 CareFirst Dental at a Glance G5 CareFirst Direct Tutorial - Simple Eligibility G1 CareFirst Direct Tutorials for Office Administrators G2 Get E-mail News from CareFirst A2 Guide to CareFirst Insurance Cards EW4 Maryland Point of Service Webinar G4 My Account-Online Access to Health Insurance Benefits A4 Network Participation for Professional Providers C4 NPI Background and Application Process B5 Standard DRG Claims F6 The World of BlueCard F7 CareFirst Direct Dual Eligibility F8 CareFirst Direct Favorite Benefit Searches F9 Consumer Directed Healthcare F10 Ambulatory Surgical Center F11 OB/GYN F12 PT/OT/ST Chiropractic F13 CareFirstDirect Fee Schedule Tool F14 Dialysis...New! F15 Durable Medical Equipment...New! F16 FEP 2010 Institutional Benefits...New! F17 FEP 2010 Professional Benefits...New! F18 Hospice...New! F19 CareFirst Direct for Dental...New! Please type the ID# of the module you are rating in the space below.

This rating form takes less than two minutes to complete. Thank you! What module are you rating? ID# Module Title E1 CareFirst Dental at a Glance G5 CareFirst Direct Tutorial - Simple Eligibility G1 CareFirst Direct Tutorials for Office Administrators G2 Get E-mail News from CareFirst A2 Guide to CareFirst Insurance Cards EW4 Maryland Point of Service Webinar G4 My Account-Online Access to Health Insurance Benefits A4 Network Participation for Professional Providers C4 NPI Background and Application Process B5 Standard DRG Claims F6 The World of BlueCard F7 CareFirst Direct Dual Eligibility F8 CareFirst Direct Favorite Benefit Searches F9 Consumer Directed Healthcare F10 Ambulatory Surgical Center F11 OB/GYN F12 PT/OT/ST Chiropractic F13 CareFirstDirect Fee Schedule Tool F14 Dialysis...New! F15 Durable Medical Equipment...New! F16 FEP 2010 Institutional Benefits...New! F17 FEP 2010 Professional Benefits...New! F18 Hospice...New! F19 CareFirst Direct for Dental...New! Please type the ID# of the module you are rating in the space below.

2. Please rate the module indicated above by selecting a number from 1 to 5 in the rating scale below.

Unfavorable rating	2	Neutral	4	Favorable rating
*Please rate the module indicated above by selecting a number from 1 to 5 in the rating scale below. Unfavorable rating	2	Neutral	4	Favorable rating

3. How many times have you viewed the module you are rating?

1 time	2-3 times	more than 3x
*How many times have you viewed the module you are rating? 1 time	2-3 times	more than 3x

4. How much did you know about this topic before viewing the module?

Nothing at all	Some	A lot
*How much did you know about this topic before viewing the module? Nothing at all	Some	A lot

5. How much did you learn about this topic as a result of viewing the module?

Nothing at all	Some	A lot
*How much did you learn about this topic as a result of viewing the module? Nothing at all	Some	A lot

6. The examples and activities helped me understand the content.

Strongly disagree	Disagree	Neutral	Agree	Strongly agree
*The examples and activities helped me understand the content. Strongly disagree	Disagree	Neutral	Agree	Strongly agree

7. The scope of the material was appropriate to my needs.

Strongly disagree	Disagree	Neutral	Agree	Strongly agree
*The scope of the material was appropriate to my needs. Strongly disagree	Disagree	Neutral	Agree	Strongly agree

8. How likely are you to use the information from this module on your job?

Not at all	Fairly unlikely	Not sure	Somewhat likely	Very likely
*How likely are you to use the information from this module on your job? Not at all	Fairly unlikely	Not sure	Somewhat likely	Very likely