Our goal is to provide exceptional medical care to all injured/ill employees who use the MetraComp Preferred Provider Network. We would like to know your thoughts about our physicians, clinics and hospitals. Your comments will help us to provide a better service.

Thank you for your time.

Question Title

* 1. Physician Name and/or Clinic

Question Title

* 2. Physician or Clinic Address (Street, City, State, Zip)

Question Title

* 3. Physician Specialty

Question Title

* 4. What type of job do you perform?

Question Title

* 5. Before you became injured or ill did your employer provide you with information about the MetraComp Preferred Provider Network?

Question Title

* 6. If yes, how was the information provided?

Question Title

* 7. What was the nature of your doctor visit?

Question Title

* 8. Where did you go for medical treatment?

Question Title

* 9. Did your doctor ask you about or have access to your job-related duties or tasks?

Question Title

* 10. Did your doctor provide you with information about your injury or illness?

Question Title

* 11. If you received a follow up appointment, what kind of doctor did you see?

Question Title

* 12. How would you rate the care you received?

  Excellent Good Fair Poor Extremely Poor
First Treatment
Follow-up Treatment

Question Title

* 13. Was your initial visit of an urgent nature?

Question Title

* 14. If yes, how long did you wait to be seen after your arrival?

Question Title

* 15. If not of an urgent nature, how long did you have to wait to be seen after your arrival?

  15 minutes of less 15 to 30 minutes Over 30 minutes
First Treatment
Follow-up Treatment

Question Title

* 16. After your appointment, were you released to return to work?

  Yes, to my regular job Yes, to a modified/light duty job No Not Applicable
First Treament
Follow-up Treatment

Question Title

* 17. How many appointments did you have before you returned to work?

Question Title

* 18. Did the MetraComp provider that you called for an appointment accept workers' compensation patients?

Question Title

* 19. If yes, and if this was your initial appointment, how many days did you have to wait for your appointment?

Question Title

* 20. If yes, and this was a follow up appointment, how many days did you have to wait for your appointment?

Question Title

* 21. If no, how many providers did you have to call?

Question Title

* 22.  If you have any additional comments or if there is any way that we can improve our service to you, please tell us about it.

T