1.Have you ever had an Independent Medical Exam (IME)?

Yes

No

2.If yes, how would you rate your overall experience with the IME?

Very Positive

Positive

Neutral

Negative

Very Negative

3.What aspects of the IME felt biased? Select all that apply

Examiner's Attitude

Questions Asked

Duration of Exam

Report Findings

Other

4.Please describe any specific instances where you felt the IME was biased.

5.Do you believe the IME impacted the outcome of your case?

Yes, Positively

Yes, Negatively

No Impact