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Company Overview
Hours of Operation
Mission & Philosophy
Form & Documents
Client Testimonials
Specialty Equipment
Facility Tour
Map / Directions
Overview of Services
Non-Surgical Back Treatment
Drug & Alcohol Testing
Independent Medical Exam
Injury Treatment
Physical Exams
Physical Therapy
Specialty Services
On Site Services
Corporate Survey
Company Information
Type of Company
Manufacturing
Construction
Government
Transportation
Education
Casino
Other
If other selected, please specify:
Number of Employees
1-25
26-50
51-100
101-250
251-500
500 & More
Position with Company
Please rate Comprehensive Care on the following
5 = Excellent 1 = Poor
Patient Care:
5
4
3
2
1
Timeliness:
5
4
3
2
1
Staff Courtesy:
5
4
3
2
1
Care from Physicians:
5
4
3
2
1
Care from Physical Therapy:
5
4
3
2
1
Convenience of location:
5
4
3
2
1
Rate employee satisfaction with Comp. Care:
5
4
3
2
1
Rate Comp. Care vs. other health care experiences:
5
4
3
2
1
Efficiency in completing reports:
5
4
3
2
1
Ease of reaching doctors or staff members:
5
4
3
2
1
Overall Experience:
5
4
3
2
1
General Health Care Questions:
5 = High Priority 1 = No Concern
Importance of employee's health:
5
4
3
2
1
Merit of employee's satisfaction with health plan:
5
4
3
2
1
Access to information via the Internet:
5
4
3
2
1
What information would you like access to from the Internet?
Have you noticed a reduction of overall total workers comp expenses:
Yes
No
If yes, do you believe Comprehensive Care has played a significant roll:
Yes
No
Has your management time & difficulty of your claims been reduced?:
Yes
No
If yes, do you believe Comprehensive Care has played a significant roll:
Yes
No
Has Comprehensive Care been a valuable partner to your company:
Yes
No
Where did your company previously receive health care prior to Comp. Care:
Would you be interested in any of the following programs for your employees:
(Check all that apply)
Weight Loss
Work Hardening
Stop Smoking
Wellness/Prevention
Healthy Eating
On Site Services
Ergonomic Evaluations
MRO Services
Newsletter / E-Letter
Pre-Employment Screening
Other
If other is selected, please specify:
General Comments:
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