Skip to content
Emergency Services WorkCover experience
1.
Are you a member of AEAV/UWU
Yes
No
2.
What is your full name? (We will not disclose any information you provide without your consent)
*
3.
Have you ever applied for WorkCover?
(Required.)
Yes
No
4.
Was it accepted or rejected?
Accepted
Rejected
5.
How difficult was it to apply for WorkCover
Very easy
Somewhat easy
Neutral
Somewhat difficult
Extremely difficult
Very easy
Somewhat easy
Neutral
Somewhat difficult
Extremely difficult
6.
How many times have you utilised WorkCover
Once
Twice
Three times or more
7.
How long were you or currently have been on WorkCover? (Choose our longest claim for survey)
0-10 weeks
11-25 weeks
26 -52 weeks
53 -78 weeks
79-130 weeks
8.
What type of injury did you apply for WorkCover?
Mental health injury
Physical injury
9.
How often did your employer (not including your Return to work advisor) contact you whilst you were on WorkCover?
About once a week
A few times a month
Once a month
Less than once a month
Bi monthly
Quarterly
Half yearly
Yearly
I wasn't contacted
10.
Who has contacted you whilst on WorkCover (may include RTW Advisor)?
Manager
Human Resources Department
Return to work Advisor
No one - was not contacted
11.
On a scale of 1-5, how satisfied were you with the contact from your employer?
DEEPLY DISSATISFIED
1 star
SOMEWHAT DISSATISFIED
2 stars
NEUTRAL
3 stars
SATISFIED
4 stars
DEEPLY SATISFIED
5 stars
12.
Do you feel that your employer made a reasonable attempt to help you return to work? If yes, how? If not, why?
13.
Were there any unresolved issues (such as workplace culture, physical/ergonomic issues) that prevented you returning to work sooner or at all? If so, please explain.
14.
At any time did you feel forgotten or lost in the system? Why?
15.
The union would like to do some follow up based on your answers. Can you confirm your worksite, role and best contact time?
16.
Please let us know you best contact method by filling out your preferred contact details.
Address
Address 2
City/Town
State/Province
Email Address
Phone Number
