FMLA: Month 4 Follow-Up Survey
Name: 


A red asterisk (*) indicates required questions.

  1. Are you able to use the Step Process with ease?
    *


  1. It takes me approximately _______ min/hour to complete 4 1R's.
    *


  1. I am able to document medical with ease and make a determination..
    *


  1. I am able to complete assigned diaries daily....
    *


  1. Are you familiar with the reports and know how to complete them?
    *


  1. Do you have any questions regarding your claim and/or call audits?
    *


  1. Are you able to locate additional resources/tools?
    *


  1. If you would like to provide any additional feedback, please provide this information below:
    *





Quality Team
MI