Policies & Feedback

Policies that protect your rights and the means to provide feedback.

Policies

Accessibility Policy
Code of Conduct and Ethics Policy
Complaints and Appeals Policy
Observers and Recording Policy
Privacy Policy
Rights of Persons Served

Feedback Forms

Claimant / Examinee Satisfaction Survey
Referral Source Satisfaction Survey
Examiner Satisfaction Survey

Claimant / Examinee Satisfaction Survey

Thank you for taking the time to provide us with your feedback.

Please fill out all fields for a complete submission. We thank you for taking the time to provide us with your feedback.

Your Name:
Your Email Address:
Date of your examination (YYYY-MM-DD):

Ability of examiner to explain nature and purpose of the examination?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

Scheduling of examination on time?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

Cleanliness of office and examination room?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

Professionalism and courtesy of our staff?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

Professionalism and courtesy of our examiner(s)?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

Satisfaction with arrangement of auxiliary services (e.g., Transportation, Translation, etc.)?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

Overall, how satisfied were you with your interaction(s) with Benchmark IME?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

Any comments/feedback/questions you may have:

Referral Source Satisfaction Survey

Thank you for taking the time to provide us with your feedback.

Please fill out all fields for a complete submission. We thank you for taking the time to provide us with your feedback.

Your Name:
Your Email Address:

How satisfied are you with...

our referral process?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

how quickly we responded with an assessment?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

how soon we could book an assessment?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

how quickly we delivered your report?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

the method of report delivery?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

the quality of our reports?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

our customer service?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

the Information Technology used to support and deliver our services?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

Benchmark IME overall?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

Any comments/feedback/questions you may have:

Examiner Satisfaction Survey

Thank you for taking the time to provide us with your feedback.

Please fill out all fields for a complete submission. We thank you for taking the time to provide us with your feedback.

Your Name:
Your Email Address:
Your professional discipline/specialization:

How satisfied are you with...

Ability of Benchmark IME to assign referral(s) and arrange services?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

Ability of Benchmark IME to provide clear instructions?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

Method of documentation delivery?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

Timeliness of documentation delivery?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

Quality control measures?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

Ability of Benchmark IME to provide payment in a timely manner?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

Professionalism and courtesy of our staff?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

Use of Information Technology pertaining to the delivery of our products and services?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

Overall satisfaction with Benchmark IME?

Very SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied

Any comments/feedback/questions you may have:

Let's meet and you'll see why we're different.


Schedule a Meeting

Call us directly at 1.888.293.3601 to schedule a meeting or fill out the form below.

A Benchmark IME Coordinator will get in touch with you within 1 to 2 business days to setup an ideal time to give you a demonstration of our system, answer any questions you may have and get you started on a new path to managing your IME's.


Submit a Referral

Referrals can be made in the following manner:

Phone: 905.827.4248
Toll Free: 1.888.293.3601
Fax: 905.827.6085

Online: ExpeFlow

If you have existing files with us or are interested in submitting referrals online using the proprietary ExpeFlow software application, please contact one of our intake coordinators at 905.827.4248 or toll free at 1.888.293.3601 for a user name and password.


Already have a username & password?
CLICK HERE TO ACCESS EXPEFLOW