ESM Initial Customer Survey Hello! As a new customer, we want to get a better understanding of your current needs so that we can tailor your customer journey to you. We know you are busy and this will only take two minutes of your time. Thank you for participating! OK Question Title * 1. Name: OK Question Title * 2. Company Name: OK Question Title * 3. Agency Name: OK Question Title * 4. How would you rate your company’s effectiveness in managing your Workers’ Compensation Claims on a scale of 1-5? (1 being not very effective, 5 being very effective) 1 2 3 4 5 Unsure 1 2 3 4 5 Unsure OK Question Title * 5. How would you rate the effectiveness of your safety program on a scale of 1-5? (1 being the not very effective, 5 being very effective) 1 2 3 4 5 Unsure 1 2 3 4 5 Unsure OK Question Title * 6. How would you rate your company’s commitment to Risk Management on a scale of 1-5? (1 being not very committed, 5 being very committed) 1 2 3 4 5 Unsure 1 2 3 4 5 Unsure OK Question Title * 7. Are there specific risk management programs that you would like to focus on this year? Claims Management procedures Safety Management programs Return To Work program General Workers' Compensation education Other (please specify) OK DONE