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Please select the designation that best describes you:
Injured worker
Adjuster
Provider
Employer
Other (please specify)
Please rate the level of impact your case manager had in the following areas:
No positive impact
Less than average impact
Average
Positive impact
Very positive impact
The case manager was knowledgeable about the work injury condition.
No positive impact
Less than average impact
Average
Positive impact
Very positive impact
The case manager included me in the decision making for the medical treatment plan.
No positive impact
Less than average impact
Average
Positive impact
Very positive impact
The case manager had ongoing communication with me regarding the injury, treatment, and goals for returning to work
No positive impact
Less than average impact
Average
Positive impact
Very positive impact
The case manager was easy to reach by phone or email and responded timely to my needs.
No positive impact
Less than average impact
Average
Positive impact
Very positive impact
The case manager listened to my concerns and assisted with communication to the medical provider.
No positive impact
Less than average impact
Average
Positive impact
Very positive impact
Comments (please specify)
On a scale of 0 to 10,
How likely is it that you would recommend Paradigm to a friend or colleague?
0 for Not at all likely, 10 for Extremely likely
Not at all likely
Extremely likely
0
1
2
3
4
5
6
7
8
9
10
Is there anything else you would like us to know?
First and Last Name (optional)
Claim number or case ID (if known)