Referral Partner Insights Survey | Briones Consulting Group
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Referral Partner Insights Survey

Understanding What You Value in a Homecare Partner
Help homecare agencies understand what truly matters to referral partners. Your answers — whether about insurance-based or private pay care — shape how agencies build better partnerships and serve patients.
Briones Consulting Group
Prepare. Plan. Rebuild.
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This survey is completely anonymous. Your name and organization are optional and will never be shared or linked to your responses. All results are analyzed in aggregate only. You may skip any question you are not comfortable answering. If you choose to provide contact information for a follow-up conversation, that is entirely your decision.
Survey Progress
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About You
Helps us segment responses by role and setting. All fields in this section are optional.
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What Drives Your Referral Decision?
Rate how important each factor is when choosing which homecare agency to refer a patient to
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Not important
2
Slightly important
3
Moderately important
4
Very important
5
Essential
Factor 12345
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Private Pay & Financial Considerations
Understanding how cost and payment models factor into your referral decisions
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Note on private pay: Many patients need homecare services that are not covered by insurance — including companionship, personal care, and extended hourly care. If you refer patients to private pay homecare agencies (out-of-pocket), please answer the questions below. If you do not, feel free to skip this section.
Not importantAbsolutely essential
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Communication & Responsiveness
Your preferences around how agencies communicate and how quickly they respond
Not at all importantAbsolutely essential
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Care Quality & Clinical Standards
What clinical expectations matter most when choosing a homecare partner
Not importantMost important factor
Doesn't matterExtremely important
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Relationship & Trust
What builds — and breaks — your confidence in a homecare partner
No influenceHeavily influences me
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In Your Own Words
Your candid perspective — this is the most valuable part of the survey

Your responses are completely anonymous and will only be used in aggregate.
Thank you for sharing your expertise — your insights directly help agencies serve referral partners better.

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Thank You for Your Insights!

Your survey has been submitted and recorded successfully.

Your perspective helps homecare agencies understand what truly matters to their partners — and ultimately leads to better outcomes for patients.

Questions? Contact office@thebrionesgroup.com · (317) 406-6814