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Division of Workers' Compensation Injured Worker Survey
*
1.
Were you aware of the Division of Workers' Compensation
prior to your injury?
(Required.)
Yes
No
*
2.
What workers' compensation information or topics were you looking for?
For example: whether you're considered an independent contractor, benefits available, your claim number, etc.
(Required.)
*
3.
In your opinion, what is
the best way for the Division of Workers' Compensation
to communicate with injured workers?
(Required.)
Direct mail
Email
Phone call
Social media posting
Text message
Website
*
4.
If any, what resources
offered by the Division of Workers' Compensation
did you use? Select all that apply.
(Required.)
"Know Your Rights as an Injured Worker" document. This would have been in the packet supplied by the insurance carrier.
"Worker's Claim for Compensation" form
Call or email to Customer Service
Injured Worker Guide
Injured worker specific pages on the Division's website
Self-Representation Brochure
The Division's website
Workers' Compensation Act
Other
5.
If you visited the website, how easy was it
to
find
the information you were looking for?
Very easy
Somewhat easy
Satisfactory
Somewhat hard
Very hard
6.
If you visited the website, how easy was it
to understand
the information you were looking for?
Very easy
Somewhat easy
Satisfactory
Somewhat hard
Very hard
7.
Did you participate in safety training at your workplace prior to your injury?
Yes
No
8.
Did you feel comfortable reporting your injury to your employer?
Yes
No
9.
What resource did you find the most helpful?
"Know Your Rights as an Injured Worker" document. This would have been in the packet supplied by the insurance carrier.
"Worker's Claim for Compensation" form
Call or email to Customer Service
Injured Worker Guide
Injured worker specific pages on the Division's website
Self-Representation Brochure
The Division's website
Workers' Compensation Act
Other
10.
What other resources such as brochures, additions to the website, or videos, could the Division of Workers' Compensation provide to help you work through the workers' compensation system?
11.
What, if any, other workers' compensation resources provided by
your employer
or its
insurance carrier
did you review? Select all that apply.
Designated provider list
Insurance carrier's website
Poster at my place of work
Printed materials such as pamphlets or brochures offered by the insurance carrier
Other
12.
Do you have any other comments, questions, or concerns about the Division's website or publications?
13.
If you still need help with questions or would like to provide more feedback directly to the Division, please provide your name and contact information below. Your information will only be used to contact you about your responses.
Name
Email address
