Thank you for taking the time to complete this survey as a way of us measuring your satisfaction with the service provided to you by Insite Injury Management Group. In the spirit of continued improvement, we value your feedback to assist us to continually review our practices so that you and the Clients to follow you will enjoy the best practice we can offer. Please complete the form below and submit direct to Insite Injury Management Group. Please note all fields marked with a (*) are mandatory.
Don't be overwhelmed... although this form looks long, in most cases it is just a case of clicking the desired answer to each question. Thanks for your time!
You can remain anonymous if you wish. Otherwise please feel free to leave your name and email below...
Name
1. Referral
a) I was contacted and advised/received a letter, advising you of referral and purpose of rehabilitation intervention in a timely manner. *
Strongly Agree Agree Mostly Agree Disagree Strongly Disagree
2. Assessment
a) The rights, responsibilities and obligations of all parties were explained to me. *
b) Your/your employeeís individual needs were considered during the initial assessment. *
c) Your/your employees needs were reassessed throughout the service duration. *
3. Consultation
a) The rehabilitation and return to work plan was tailored to suit your/your employees individual needs with all parties views taken into account in the development of the plan. *
b) There was regular consultation with all parties involved in the process. *
4. Rehabilitation and return to work plans or programs
a) The goals were clear and appropriate with the case. *
b) The strategies were targeted at achieving the goal. *
c) The plan considered the workplace needs. *
5. Case Conferencing or other meetings
a) Case conferences were appropriately scheduled if required. *
6. Monitoring
a) Regular monitoring of progress occurred by way of workplace meeting/review. *
7. Record Keeping and Reporting
a) Reports of the initial assessment and progress were accurate and reflected the situation. *
b) Reports kept me informed of progress and future strategies and actions. *
a) The consultant appointed to my case was adequately skilled and experienced to deliver quality services. *
9. The Company
a) The company provides service and system standards that support best practice. *
b) I understood the procedure for making a complaint or expressing my dissatisfaction with any aspect of service delivery. *
c) My views are taken seriously and acted upon promptly. *
d) The support staff i.e. reception greeted me or my phone call with respect and in a professional manner. *
10. Other Comments
Please feel free to make any further comments about the servie standard or your experience with our service delivery.
11. Further Contact
I would like a private telephone call from the Principal Consultant to further discuss my views? *
Yes No
If yes, please provide contact details:
12. Future Service
In the unfortunate event you require the services of a rehabilitation and return to work service provider, now that we are familiar with your work site, Insite Injury Management Group would be more than pleased to assist you. To ensure Insite are nominated as your preferred provider, simply download, complete and return the Provider Nomination document below and we will forward this to your Agent.
Once again, we thank you for taking the time to complete this survey. Please feel free to contact our office at any time and speak to our Principal Consultant, Leah Brown who will gladly offer advice at any time. Telephone 8361 7271
