Survey

Occasionally HealthNet will post a survey. We want to know what you think!
We appreciate your time and will reward you with bonus points to your Healthy Rewards account.
Survey Bonus Points will be limited to once per cardholder, per survey.


 
Member Name *
Member Name
Address *
Address
(Last 4 digits ONLY)
Phone *
Phone
Do you currently use a digital wallet? *
When using a digital wallet, I am most likely to use it for: *
When using your digital wallet, what kind of card do you use most often? *
I would use my HealthNet Healthy Rewards Debit Card in my digital wallet if it was available. *
I have enrolled in Healthy Rewards. *
Request Additional Information
I have not yet enrolled in Healthy Rewards. Please send me additional information about the program.