Field Specialist Performance Survey
Name (optional): 


  1. Sedgwick Field Specialist Name:


  1. Location:


  1. Do you feel that the frequency of the DIP meetings is adequate?
    Yes
    No


  1. How often do you and your Sedgwick Field Specialist participate in Disability Improvement Process (DIP) Meetings?


  1. Why/Why not?


  1. Overall, how satisfied are you with your Sedgwick Field Specialist?
    Very Satisfied
    Satisfied
    Neither Satisfied or Dissatisfied
    Dissatisfied
    Very Dissatisfied


  1. Level of knowledge:
    Poor
    Fair
    Average
    Above Average
    Excellent


  1. With regards to the service you receive from you Sedgwick Field Specialist, please rate the following:
    o Effectively communicates with me when significant events occur:
    Never
    Sometimes
    Average
    Often
    Always


  1. o Availability/Responsiveness to inquiries and questions:
    Never
    Sometimes
    Average
    Often
    Always


  1. o Is effective at resolving problems and/or issues:
    Never
    Sometimes
    Average
    Often
    Always


  1. o Conducts themselves in a professional and friendly manner:
    Never
    Sometimes
    Average
    Often
    Always


  1. o Promptly responds to inquiries and questions including returning phone
    calls/emails:
    Never
    Sometimes
    Average
    Often
    Always


  1. What other assistance would you like from your Sedgwick Field Specialist?


  1. What do you find most beneficial about your Sedgwick Field Specialist?


  1. Additional Comments: