ESM Annual Completion Survey Thank you for being a valued customer of ESM. We would very much appreciate you taking a moment to complete the short survey below so that we can continue to optimize our services and offerings. Thank you! OK Question Title * 1. Name: OK Question Title * 2. Company: OK Question Title * 3. Insurance Agency Name: OK Question Title * 4. Overall, how would you rate ESM’s services this year on a scale of 1-5? (1 being not very satisfied, 5 being very satisfied) Not Very Satisfied Unsatisfied Unsure Satisfied Very Satisfied Not Very Satisfied Unsatisfied Unsure Satisfied Very Satisfied OK Question Title * 5. What can we do to improve your next year's customer journey? Improve Claims Management procedures Enhance my Safety Management program Update my Return To Work program Learn more about Workers' Compensation Other (please specify) OK DONE