Assist Group Provider Feedback Form

Assist Group values customer and stakeholder feedback and continual improvement recommendations. Please feel free to fill out this form below.

Your Details
Name:
Contact Phone:
Contact Email:
Are you an:	If "Other" selected please specify:
Your Feedback
Which consultant are you leaving feedback for:
1. The consultant responded promptly to the request for service:
2. The consultant clearly explained his/her role when they first contacted you:
3. The consultant established and maintainted clear communication from the commencement of their involvement:
4. The consultant was professional in his/her manner:
5. Reports were provided in a timely manner:
6. Issues were resolved promptly
7. The consultant understood the specific needs of your business:
8. An appropriate claims outcome was achieved:
9. Overall the services were of value to the business:
10. We would utilise this consultant again for further services as required:
11. Are you aware that Assist Group offers a full range of injury management, psychological, occupational rehabilitation and occupational health and safety services?
12. I would like more information from Assist Group regarding the following services: (please tick)
- Occupational Health & Safety Services
- Pre-Placement Services
- Medical Services
- Psychological Services
- Other Service (please specify)
13. Further comments to improve our service delivery:
Type further comments here