The New York State Workers' Compensation Board is examining how well the workers' compensation system is operating for you. Please take a few moments to tell us about your experience.

* 1. I received medical care quickly for my injury or illness

  Strongly Disagree Disagree Undecided Agree Strongly Agree
Medical Care Received Quickly

* 2. It was easy for me to get medical care for my injury or illness.

  Strongly Disagree Disagree Undecided Agree Strongly Agree
Ease of Receiving Medical Care

* 3. I received my lost wages quickly in my workers' compensation claim.

  Strongly Disagree Disagree Undecided Agree Strongly Agree
Loss Wages Received Quickly

* 4. Disputes in my claim were quickly resolved. If there were no disputes, choose N/A.

  Strongly Disagree Disagree Undecided Agree Strongly Agree N/A
Claim Disputes Quickly Resolved

* 5. I received good service from the Workers' Compensation Board.

  Strongly Disagree Disagree Undecided Agree Strongly Agree
Satisfactory Service Received

* 6. Overall, I am satisfied with how my claim was handled by everyone in the process.

  Strongly Disagree Disagree Undecided Agree Strongly Agree
Satisfaction with Claims Process

* 7. Who told you what to do to receive your benefits? You may choose more than one answer.

* 8. Were you provided with information or training about Return to Work options?

* 9. Do you believe you would not have been hurt if your job had better safety procedures?

* 10. Would you like to say anything else about your workers' compensation experience?

* 11. Please tell us what best describes your geographic location.

Thank you. Your opinion is important to the New York State Workers' Compensation Board.

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