Satisfaction and Feedback Survey

Thank you for taking the time to fill out this survey. We greatly appreciate any comments, questions or suggestions so that we may improve our service.

* 1. The communications I have had with FRR have been clear, meaningful, and accurate.

* 2. FRR Representatives have been professional in their response to my inquiries/needs.

* 3. FRR Representatives have been timely in their response to my inquiries/needs.

If you are not a Claimant, please skip to question 6.

* 4. The FRR Case Manager assists me in understanding my diagnosis and treatment options, and/or assists in referring me to the appropriate person to secure this information.

* 5. I have been referred to the Safety, Health and Education/Literacy Resources links on the FRR website by the FRR Case Manager .

* 6. My responses are related to the following FRR Representative:

* 7. I am a(n):

* 8. I am including my contact information, knowing it will remain confidential, as I understand that it may assist FRR in service enhancement: