Hearing Aid Benefits Survey
The Alhambra Teacher's Association is currently evaluating the effectiveness of our benefits towards hearing aid devices. If you or a dependent under your healthcare plan use such services, your Health Benefits Committee would like to get a better sense of the experiences you've had. 
Sign in to Google to save your progress. Learn more
Which Insurance plan do you use?
Clear selection
What positive aspects of the plan do you appreciate?
What aspects of the plan would you like to see changed, if any?
On a scale of 1-5, how would you rank your current satisfaction with hearing aide coverage?
Not at all satisfied
Very satisfied
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report