Risk Management Customer Service Survey

1. Risk Management Customer Service Survey

Please take a moment to help us evaluate the services provided by Risk Management staff. The results of this survey will help improve and direct our efforts in providing the quality of services needed to support a safe working environment for employees of San Mateo County.

Responses from this survey are reviewed every 30 days. If you would like to speak with a representative from Risk Management, please call 650-363-4321.

Question Title

* 1. We need a little information about your employer/position:

Agency:

Department:

Division:

Classification:

Position:

Question Title

* 2. Please check the Risk Management service area you are evaluating in this survey:

ADA Title II

Contract Insurance Approval

Disability Leave with Pay

Ergonomic Evaluation

Facility Safety Inspection

General Customer Service

Long Term Disability

Occupational Health

Prescription Safety Eyewear

Safety Committee

Training

Workers’ Compensation

Question Title

* 3. If you indicated Training or Facility Safety Inspection, please provide more details.

If you chose Training, which session?

Please indicate the date you attended training:

If you chose Facility Safety Inspection, which facility?

Question Title

* 4. Please rate your satisfaction level with the service you selected on the previous question:

	Very Satisfied	Satisfied	Neutral	Dissatisfied	Very Dissatisfied
The Risk Management representative was courteous.	The Risk Management representative was courteous. Very Satisfied	The Risk Management representative was courteous. Satisfied	The Risk Management representative was courteous. Neutral	The Risk Management representative was courteous. Dissatisfied	The Risk Management representative was courteous. Very Dissatisfied
The Risk Management representative provided prompt service.	The Risk Management representative provided prompt service. Very Satisfied	The Risk Management representative provided prompt service. Satisfied	The Risk Management representative provided prompt service. Neutral	The Risk Management representative provided prompt service. Dissatisfied	The Risk Management representative provided prompt service. Very Dissatisfied
The Risk Management representative was helpful.	The Risk Management representative was helpful. Very Satisfied	The Risk Management representative was helpful. Satisfied	The Risk Management representative was helpful. Neutral	The Risk Management representative was helpful. Dissatisfied	The Risk Management representative was helpful. Very Dissatisfied
The information provided by the Risk Management representative was clear and concise.	The information provided by the Risk Management representative was clear and concise. Very Satisfied	The information provided by the Risk Management representative was clear and concise. Satisfied	The information provided by the Risk Management representative was clear and concise. Neutral	The information provided by the Risk Management representative was clear and concise. Dissatisfied	The information provided by the Risk Management representative was clear and concise. Very Dissatisfied
My overall experience was positive.	My overall experience was positive. Very Satisfied	My overall experience was positive. Satisfied	My overall experience was positive. Neutral	My overall experience was positive. Dissatisfied	My overall experience was positive. Very Dissatisfied

Question Title

* 5. Please provide any comments or suggestions that may help us improve our services.

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