healthmarq Feedback Form Question Title * 1. How likely is it that you would recommend healthmarq to a friend or colleague? NOT AT ALL LIKELY EXTREMELY LIKELY 0 1 2 3 4 5 6 7 8 9 10 0 1 2 3 4 5 6 7 8 9 10 OK Question Title * 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 OK Question Title * 3. What scheme was your referral/treatment under? Workers Compensation NRMA CTP OTHER CTP / ICWA Medicare DVA / Defence NDIS OK Question Title * 4. In which state are you located? NSW ACT WA SA QLD OK Question Title * 5. I found the communication from healthmarq to be: Far above average Above average Average Below average Far below average Comment: OK Question Title * 6. healthmarq assisted you to reach the goals of your treatment / referral Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree OK Question Title * 7. What changes would healthmarq have to make for you to give it a higher rating? OK Question Title * 8. Would you like healthmarq to contact you to discuss your recent experience with them? No Yes - Please leave your name and contact details OK Question Title * 9. Please leave any further feedback below: OK DONE
