WWC Site Visit Evaluation Question Title * 1. Agency Name Question Title * 2. My role with WWC can best be described as: Agency Director Case Manager Clinician Contract Administrator eCaST Coordinator Fiscal Manager Fiscal Payment Coordinator Signature Authority WWC Coordinator Question Title * 3. The site visit was a positive experience for me. Strongly Agree Agree Neutral Disagree Strongly Disagree Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 4. The length of the site visit was appropriate. Strongly Agree Agree Neutral Disagree Strongle Disagree Strongly Agree Agree Neutral Disagree Strongle Disagree Question Title * 5. I knew what to expect prior to the site visit. Strongly Agree Agree Neutral Disagree Strongly Disagree Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 6. My agency’s WWC program will benefit from the site visit. Strongly Agree Agree Neutral Disagree Strongly Disagree Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 7. The site visit may help to improve the core performance indicators for my agency. Strongly Agree Agree Neutral Disagree Strongly Disagree Strongly Agree Agree Neutral Disagree Strongly Disagree Next