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Healthmarq Feedback Form
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1.
On a scale of 0 to 10,
How likely is it that you would recommend Healthmarq to a friend or colleague?
0 for Not at all likely, 10 for Extremely likely
(Required.)
Not at all likely
Extremely likely
0
1
2
3
4
5
6
7
8
9
10
2.
Please advise your role:
Patient / Worker
Insurer
Rehabilitation Provider
Employer HR/RTW Coordinator
NTD
Allied Health Provider
NDIS Plan Manager
NDIS Support Coordinator
Other
3.
What scheme was your referral/treatment under?
Workers Compensation
NRMA CTP
OTHER CTP / ICWA
Medicare
DVA / Defence
NDIS
4.
In which state are you located?
NSW
ACT
WA
SA
QLD
5.
I found the communication from Healthmarq to be:
Far above average
Above average
Average
Below average
Far below average
Comment:
6.
Healthmarq assisted you to reach the goals of your treatment / referral
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
7.
What changes would Healthmarq have to make for you to give it a higher rating?
8.
Would you like Healthmarq to contact you to discuss your recent experience with them?
No
Yes - Please leave your name and contact details
9.
Please leave any further feedback below:
Current Progress,
0 of 9 answered
