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Corporate Survey
Company Information
Type of Company
Manufacturing
Construction
Government
Transportation
Education
Casino
Other
If other selected, please specify:
Number of Employees
1-25
26-50
51-100
101-250
251-500
500 & More
Position with Company
Please rate Comprehensive Care on the following
5 = Excellent 1 = Poor
Patient Care:
5
4
3
2
1
Timeliness:
5
4
3
2
1
Staff Courtesy:
5
4
3
2
1
Care from Physicians:
5
4
3
2
1
Care from Physical Therapy:
5
4
3
2
1
Convenience of location:
5
4
3
2
1
Rate employee satisfaction with Comp. Care:
5
4
3
2
1
Rate Comp. Care vs. other health care experiences:
5
4
3
2
1
Efficiency in completing reports:
5
4
3
2
1
Ease of reaching doctors or staff members:
5
4
3
2
1
Overall Experience:
5
4
3
2
1
General Health Care Questions:
5 = High Priority 1 = No Concern
Importance of employee's health:
5
4
3
2
1
Merit of employee's satisfaction with health plan:
5
4
3
2
1
Access to information via the Internet:
5
4
3
2
1
What information would you like access to from the Internet?
Have you noticed a reduction of overall total workers comp expenses:
Yes
No
If yes, do you believe Comprehensive Care has played a significant roll:
Yes
No
Has your management time & difficulty of your claims been reduced?:
Yes
No
If yes, do you believe Comprehensive Care has played a significant roll:
Yes
No
Has Comprehensive Care been a valuable partner to your company:
Yes
No
Where did your company previously receive health care prior to Comp. Care:
Would you be interested in any of the following programs for your employees:
(Check all that apply)
Weight Loss
Work Hardening
Stop Smoking
Wellness/Prevention
Healthy Eating
On Site Services
Ergonomic Evaluations
MRO Services
Newsletter / E-Letter
Pre-Employment Screening
Other
If other is selected, please specify:
General Comments:
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