Worker's Compensation Survey

1.Employee Name(Required.)
2.Employee ID Number(Required.)
3.Claim Number(Required.)
4.Did Claims Adjuster clearly explain benefits to you?
5.Was Claims Adjuster prompt/responsive to your questions?
6.Was Claims Adjuster helpful?
7.Did Claims Adjuster resolve your concerns?
8.Were your medical care needs met?
9.How would you rate your overall experience/interaction with the Workers' Compensation Division?
10.Please share any additional comments/suggestions to help us better serve you.
11.If you wish to be contacted, please provide your phone number.
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