Customer Satisfaction Survey - Case Management

Case Manager Name: * 🛈

Case Manager (not listed):

Instructions: Please answer the questions below using the following ratings:

5 = Strongly Agree/ 4 = Agree / 3 = Neutral / 2 = Disagree / 1 = Strongly Disagree

The SCM Case Manager communicated and submitted reports in a timely manner. *

The SCM Case Manager completed the goals established for the case. *

I am satisfied with the SCM Case Management services provided. *

The SCM Case Manager exhibited proper knowledge of healthcare to assist the Injured Worker. *

I would recommend SCM Case Management Services in the future. *

Additional Comments (Please provide any additional comments about SCM Case Management services- especially any answers scored “3” or lower).

Did you know SCM Associates also offers other services? If interested, please select all services that you would like to hear more about and we will reach out to you to discuss (Optional).

I _______ to grant SCM Associates Inc permission to share my feedback, comments, and first name only on all marketing materials used by the company. * 🛈

Completed by:

First: *

Last: *