WorkStar Health Services – Provider Satisfaction Survey
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1. WorkStar Health Services – Provider Satisfaction Survey

WorkStar Health Services values the opinions and feedback of all its customers, especially the feedback from both Providers as well as Employers. We are committed to providing expert Case Management Services in a timely and an effective fashion that exceeds our customer’s expectations. In order to help us continuously improve our performance, we need your feedback. Thank you for taking the time to help us improve our services to you.

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1. Please Enter Your Claim Number:

Please Enter Your Claim Number:

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2. Please answer the following 7 questions on a rating of 1-6; 1 being the worst, and 6 being the best.

	1- Poor	2	3	4	5	6 - Excellent	N/A
1. I was able to reach a WorkStar staff person when I needed to?	*Please answer the following 7 questions on a rating of 1-6; 1 being the worst, and 6 being the best. 1. I was able to reach a WorkStar staff person when I needed to? 1- Poor	1. I was able to reach a WorkStar staff person when I needed to? 2	1. I was able to reach a WorkStar staff person when I needed to? 3	1. I was able to reach a WorkStar staff person when I needed to? 4	1. I was able to reach a WorkStar staff person when I needed to? 5	1. I was able to reach a WorkStar staff person when I needed to? 6 - Excellent	1. I was able to reach a WorkStar staff person when I needed to? N/A
2. All my phone calls were returned in a timely manner?	2. All my phone calls were returned in a timely manner? 1- Poor	2. All my phone calls were returned in a timely manner? 2	2. All my phone calls were returned in a timely manner? 3	2. All my phone calls were returned in a timely manner? 4	2. All my phone calls were returned in a timely manner? 5	2. All my phone calls were returned in a timely manner? 6 - Excellent	2. All my phone calls were returned in a timely manner? N/A
3. WorkStar staff were helpful and answered all my questions?	3. WorkStar staff were helpful and answered all my questions? 1- Poor	3. WorkStar staff were helpful and answered all my questions? 2	3. WorkStar staff were helpful and answered all my questions? 3	3. WorkStar staff were helpful and answered all my questions? 4	3. WorkStar staff were helpful and answered all my questions? 5	3. WorkStar staff were helpful and answered all my questions? 6 - Excellent	3. WorkStar staff were helpful and answered all my questions? N/A
4. WorkStar staff were courteous and knowledgeable?	4. WorkStar staff were courteous and knowledgeable? 1- Poor	4. WorkStar staff were courteous and knowledgeable? 2	4. WorkStar staff were courteous and knowledgeable? 3	4. WorkStar staff were courteous and knowledgeable? 4	4. WorkStar staff were courteous and knowledgeable? 5	4. WorkStar staff were courteous and knowledgeable? 6 - Excellent	4. WorkStar staff were courteous and knowledgeable? N/A
5. My experience with WorkStar was very positive?	5. My experience with WorkStar was very positive? 1- Poor	5. My experience with WorkStar was very positive? 2	5. My experience with WorkStar was very positive? 3	5. My experience with WorkStar was very positive? 4	5. My experience with WorkStar was very positive? 5	5. My experience with WorkStar was very positive? 6 - Excellent	5. My experience with WorkStar was very positive? N/A
6. All of my medical bills were paid in a timely fashion?	6. All of my medical bills were paid in a timely fashion? 1- Poor	6. All of my medical bills were paid in a timely fashion? 2	6. All of my medical bills were paid in a timely fashion? 3	6. All of my medical bills were paid in a timely fashion? 4	6. All of my medical bills were paid in a timely fashion? 5	6. All of my medical bills were paid in a timely fashion? 6 - Excellent	6. All of my medical bills were paid in a timely fashion? N/A
7. I still have an unresolved complaint and I need someone to call me back?	7. I still have an unresolved complaint and I need someone to call me back? 1- Poor	7. I still have an unresolved complaint and I need someone to call me back? 2	7. I still have an unresolved complaint and I need someone to call me back? 3	7. I still have an unresolved complaint and I need someone to call me back? 4	7. I still have an unresolved complaint and I need someone to call me back? 5	7. I still have an unresolved complaint and I need someone to call me back? 6 - Excellent	7. I still have an unresolved complaint and I need someone to call me back? N/A

3. Additional Comments or Suggestions:

Additional Comments or Suggestions:

4. Please enter your full name and phone number (Optional):

Please enter your full name and phone number (Optional): Full Name:
Phone Number:

Thank you for completing this questionnaire. Please contact our office if you need further assistance.
WorkStar Health Services
7116 Sennet Place, West Chester, OH 45069
513.779.5680 -or- 800.256.8833 fax 513.779.5681

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WorkStar Health Services – Provider Satisfaction SurveyExit this survey