The information you enter on this page will only be used to help us improve this web site. We will not share this information with anyone else. For more information, please review our Security and Privacy Policies.


Required information is indicated by an asterisk (*)

Your Opinion of Our Web Site

Did the content of this site make sense to you?
Very     Somewhat     Not at all

How useful was this site's content?
Very     Somewhat     Not at all

How easy was it to find information on this site?
Very     Somewhat     Not at all

What other features would you like to see on this site?


What features of this site did you NOT like?


Are there any other comments you would like to make?


Your Opinion of Children's Mercy Family Health Partners

If you have received services from us, were your satisfied (happy) with the service?
Yes No

If no, what could we have done better?


Do you receive and read our member newsletter Connections?
Yes No

Do you find the articles helpful?
Yes No

If no, what should we do to make the newsletter more helpful to you?


Would you recommend others such as friends and family to join CMFHP?
Yes No

If not, why not?


A Little Information About You

Which of the following best describes you?*


Please contact me regarding my comments.

What is your e-mail address? (* Required if you wish us to contact you)


What is your phone number? (If you would like to have us contact you by phone.)
(Include area code)

What is your name?


Is this your first visit to our site?
Yes No

Why are you visiting this site?
Looking for Health Insurance
To learn more about CMFHPs services
Locate/Choose a physician
Check the Calendar of Events
Order Material(s) Online
Refer a Member
Check the status of a claim
Check a Member's eligibility
Other (maximum 30 characters)



_____________________________________________________________________________________
© Copyright 2005, Children's Mercy Family Health Partners. All Rights Reserved. System availability, transaction execution and response times may vary due to volume, system performance and/or other factors.