Satisfaction and Feedback Survey

Thank you for taking the time to fill out this survey. We greatly appreciate any comments, questions or suggestions so that we may improve our service.

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* 1. The communications I have had with FRR have been clear, meaningful, and accurate.

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* 2. FRR Representatives have been professional in their response to my inquiries/needs.

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* 3. FRR Representatives have been timely in their response to my inquiries/needs.

If you are not a Claimant, please skip to question 6.

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* 4. The FRR Case Manager assists me in understanding my diagnosis and treatment options, and/or assists in referring me to the appropriate person to secure this information.

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* 5. I have been referred to the Safety, Health and Education/Literacy Resources links on the FRR website by the FRR Case Manager .

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* 6. My responses are related to the following FRR Representative:

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* 7. I am a(n):

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* 8. I am including my contact information, knowing it will remain confidential, as I understand that it may assist FRR in service enhancement:

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