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Encore Unlimited Customer Feedback Survey

Encore Unlimited is committed to providing excellent services to our customers. 
We would like your assistance to assess how well we are doing as well as identify areas where
we need to focus more attention.Thank you for taking the time to complete this survey. 
The satisfaction of our customer is very important to us and we value your opinion.


           Contact Information  
            Your Name:  (optional)
           First Name:              Last Name:
    
Company Name:
  Email:       
   

           File Information  
            Injured Worker Name:
           First Name:              Last Name:
    
Claim Number:
     
             Consultant Assigned:
 
     

  Please rate the following:     (1=Poor to 5=Excellent)
     
  1) The referral process was easily accessed and met your needs:
 
  2) Communication was provided in the format requested:
 
  3) The Consultant's knowledge and skill level contributed significantly to a successful outcome:
 
  4) The Consultant was easily accessible and responded promptly:
 
  5) Reports and invoices were timely, concise, clear, and reflected services provided:
 
  6) Overall level of the services provided:
 
I will use this Consultant again?
  I will use Encore Unlimited again?   
   

  Comments / Other Feedback  
 
     
 
     

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