FEEDBACK FORM Google

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:

 

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