Injured Workers: Please Tell Us Your Experience

The New York State Workers' Compensation Board is examining how well the workers' compensation system is operating for you. Please take a few moments to tell us about your experience.

Question Title

* 1. I received medical care quickly for my injury or illness

	Strongly Disagree	Disagree	Undecided	Agree	Strongly Agree
Medical Care Received Quickly	Medical Care Received Quickly Strongly Disagree	Medical Care Received Quickly Disagree	Medical Care Received Quickly Undecided	Medical Care Received Quickly Agree	Medical Care Received Quickly Strongly Agree

Question Title

* 2. It was easy for me to get medical care for my injury or illness.

	Strongly Disagree	Disagree	Undecided	Agree	Strongly Agree
Ease of Receiving Medical Care	Ease of Receiving Medical Care Strongly Disagree	Ease of Receiving Medical Care Disagree	Ease of Receiving Medical Care Undecided	Ease of Receiving Medical Care Agree	Ease of Receiving Medical Care Strongly Agree

Question Title

* 3. I received my lost wages quickly in my workers' compensation claim.

	Strongly Disagree	Disagree	Undecided	Agree	Strongly Agree
Loss Wages Received Quickly	Loss Wages Received Quickly Strongly Disagree	Loss Wages Received Quickly Disagree	Loss Wages Received Quickly Undecided	Loss Wages Received Quickly Agree	Loss Wages Received Quickly Strongly Agree

Question Title

* 4. Disputes in my claim were quickly resolved. If there were no disputes, choose N/A.

	Strongly Disagree	Disagree	Undecided	Agree	Strongly Agree	N/A
Claim Disputes Quickly Resolved	Claim Disputes Quickly Resolved Strongly Disagree	Claim Disputes Quickly Resolved Disagree	Claim Disputes Quickly Resolved Undecided	Claim Disputes Quickly Resolved Agree	Claim Disputes Quickly Resolved Strongly Agree	Claim Disputes Quickly Resolved N/A

Question Title

* 5. I received good service from the Workers' Compensation Board.

	Strongly Disagree	Disagree	Undecided	Agree	Strongly Agree
Satisfactory Service Received	Satisfactory Service Received Strongly Disagree	Satisfactory Service Received Disagree	Satisfactory Service Received Undecided	Satisfactory Service Received Agree	Satisfactory Service Received Strongly Agree

Question Title

* 6. Overall, I am satisfied with how my claim was handled by everyone in the process.

	Strongly Disagree	Disagree	Undecided	Agree	Strongly Agree
Satisfaction with Claims Process	Satisfaction with Claims Process Strongly Disagree	Satisfaction with Claims Process Disagree	Satisfaction with Claims Process Undecided	Satisfaction with Claims Process Agree	Satisfaction with Claims Process Strongly Agree

Question Title

* 7. Who told you what to do to receive your benefits? You may choose more than one answer.

Attorney

Workers' Compensation Board

Insurance Agent

Friend or Family Member

Employer

Other (please specify)

Question Title

* 8. Were you provided with information or training about Return to Work options?

Yes

Question Title

* 9. Do you believe you would not have been hurt if your job had better safety procedures?

Yes

Question Title

* 10. Would you like to say anything else about your workers' compensation experience?

Question Title

* 11. Please tell us what best describes your geographic location.

Capital Region

Central New York

Finger Lakes

Hudson Valley

Long Island

Mohawk Valley

New York City

North Country

Out-of-State

Southern Tier

Western New York

Thank you. Your opinion is important to the New York State Workers' Compensation Board.