Please Fill out the following survey so that we may better serve you and other injured workers. Name Email Date Case Mgr. 1. Follows through with commitments in a timely manner. Always Sometimes Never 2. Shows a sincere interest in solving my problems. Always Sometimes Never 3. Gives me personal attention. Always Sometimes Never 4. Has my best interest at heart. Always Sometimes Never 5. Understands my specific needs. Always Sometimes Never 6. Projects a professional image. Always Sometimes Never 7. Case manager informed me exactly when services would be performed. Always Sometimes Never 8. Case manager is always willing to help me. Always Sometimes Never 9. Case manager is never too busy to respond to my requests. Always Sometimes Never 10. Initially were you skeptical about a case manager being beneficial to you? If so, explain why. 11.Upon being released by your physician do you feel that the case management was beneficial to your case? If so, why? If not, why?
