eCOBRA Customer Satisfaction Survey

1

Please rate your overall satisfaction with eCOBRA customer service.

Extremely Satisfied
Very Satisfied
Satisfied
Very Dissatisfied
Extremely Dissatisfied
2

Please rate your overall satisfaction with eCOBRA speed of processing.

Extremely Satisfied
Very Satisfied
Satisfied
Very Dissatisfied
Extremely Dissatisfied
3

Please rate your overall satisfaction with our employer portal at eCOBRA.com (online forms, COBRA resources, news, monthly reporting, etc.).

Extremely Satisfied
Very Satisfied
Satisfied
Very Dissatisfied
Extremely Dissatisfied
4

What features or improvements would you like to see on our website (www.eCOBRA.com)?

5

Please rate your overall satisfaction with our eCOBRA monthly administrative fees?

Extremely Satisfied
Very Satisfied
Satisfied
Very Dissatisfied
Extremely Dissatisfied
Not Applicable
6

Please let us know how we can improve our services.