Customer Satisfaction Survey
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- Thomasine James
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1 Customer Satisfaction Survey Do you utilize IMX Medical Management Services? Yes No If so, how often? 1-3 Referrals per Month 3-10 Referrals per Month Referrals per Month More than 30 Referrals per Month What type of company do you work for? Law Firm Insurance Broker Managed Care Company Employer Insurance Company TPA What is your Line of Business? Auto Liability FMLA Long Term Disability Workers Compensation What is your position in your company? Attorney Case Manager Regional or National Managed Care Manager Claims Adjuster Claims Supervisor Claims Manager Human Resources Professional What services have you utilized at IMX? Independent Medical Evaluations Functional Capacity Evaluations Medical Record Reviews Ergonomic Assessments Medical Expert Opinions
2 Peer Reviews Overall, how satisfied are you with the services that you have received from IMX? Very Satisfied Somewhat Satisfied Somewhat Dissatisfied Very Dissatisfied If you are satisfied, what areas are you most satisfied with, in order of importance? If you are not satisfied, what areas are you not satisfied with, in order of importance? When utilizing our services, which service is most important to you in order of importance? Timelines of Reports Scheduling Appointments Locations of Offices Access to Services
3 How likely would you be to recommend IMX to your colleagues or customers? Extremely Likely Extremely Unlikely Any other input that was not mentioned ab ove? * Please fax the completed survey to: (484)
4 Customer Satisfaction Survey Do you utilize IMX Medical Management Services? Yes No If so, how often? 1-3 Referrals per Month 3-10 Referrals per Month Referrals per Month More than 30 Referrals per Month What type of company do you work for? Law Firm Insurance Broker Managed Care Company Employer Insurance Company TPA What is your Line of Business? Auto Liability FMLA Long Term Disability Workers Compensation What is your position in your company? Attorney Case Manager Regional or National Managed Care Manager Claims Adjuster Claims Supervisor Claims Manager Human Resources Professional What services have you utilized at IMX? Independent Medical Evaluations Functional Capacity Evaluations Medical Record Reviews Ergonomic Assessments Medical Expert Opinions
5 Peer Reviews Overall, how satisfied are you with the services that you have received from IMX? Very Satisfied Somewhat Satisfied Somewhat Dissatisfied Very Dissatisfied If you are satisfied, what areas are you most satisfied with, in order of importance? If you are not satisfied, what areas are you not satisfied with, in order of importance? When utilizing our services, which service is most important to you in order of importance? Timelines of Reports Scheduling Appointments Locations of Offices Access to Services
6 How likely would you be to recommend IMX to your colleagues or customers? Extremely Likely Extremely Unlikely Any other input that was not mentioned ab ove? * Please fax the completed survey to: (484)
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