2022 Client Survey

AssessMed 2022 Client Survey

We invite you to participate in our annual feedback opportunity. Your comments will help AssessMed continue to evolve and grow as an organization. All responses will be strictly confidential and used to make a positive impact on our organization on a go forward basis. Thank you in advance for your time.

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* 1. I Refer…

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* 2. Assessor Availability

	Never	Rarely	Occasionally	Often	Always
How often do our assessors availabilities fit your needs?	How often do our assessors availabilities fit your needs? Never	How often do our assessors availabilities fit your needs? Rarely	How often do our assessors availabilities fit your needs? Occasionally	How often do our assessors availabilities fit your needs? Often	How often do our assessors availabilities fit your needs? Always

Additional comments/recommendations/ideas on assessor availability:

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* 3. Added Value

	No Value	Little Value	Unsure	Some Value	Significant Value
How would you rate the value AssessMed brings to your firm?	How would you rate the value AssessMed brings to your firm? No Value	How would you rate the value AssessMed brings to your firm? Little Value	How would you rate the value AssessMed brings to your firm? Unsure	How would you rate the value AssessMed brings to your firm? Some Value	How would you rate the value AssessMed brings to your firm? Significant Value

Additional comments/recommendations/ideas on added value:

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* 4. Ease of Access

	Very Difficult	Moderately Difficult	Neither Easy nor Difficult	Moderately Easy	Very Easy
How easy is it to access and use our services?	How easy is it to access and use our services? Very Difficult	How easy is it to access and use our services? Moderately Difficult	How easy is it to access and use our services? Neither Easy nor Difficult	How easy is it to access and use our services? Moderately Easy	How easy is it to access and use our services? Very Easy

Additional comments/recommendations/ideas on company practices:

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* 5. Communication

	Poor	Below Average	Average	Good	Excellent
How would you rate our communications?	How would you rate our communications? Poor	How would you rate our communications? Below Average	How would you rate our communications? Average	How would you rate our communications? Good	How would you rate our communications? Excellent

Additional comments/recommendations/ideas on communication:

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* 6. Responsiveness

	Unresponsive	Moderately Responsive	Unsure	Moderately Responsive	Very Responsive
How responsive have we been to your concerns and questions?	How responsive have we been to your concerns and questions? Unresponsive	How responsive have we been to your concerns and questions? Moderately Responsive	How responsive have we been to your concerns and questions? Unsure	How responsive have we been to your concerns and questions? Moderately Responsive	How responsive have we been to your concerns and questions? Very Responsive

Additional comments/recommendations/ideas on responsiveness:

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* 7. Ongoing Relationship

	Very Unlikely	Moderately Unlikely	Unsure	Moderately Likely	Very Likely
How likely are you to continue to use our services in 2022 and beyond?	How likely are you to continue to use our services in 2022 and beyond? Very Unlikely	How likely are you to continue to use our services in 2022 and beyond? Moderately Unlikely	How likely are you to continue to use our services in 2022 and beyond? Unsure	How likely are you to continue to use our services in 2022 and beyond? Moderately Likely	How likely are you to continue to use our services in 2022 and beyond? Very Likely

Additional comments/recommendations/ideas on our ongoing relationship:

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* 8. Referrals

	Very Unlikely	Moderately Unlikely	Unsure	Moderately Likely	Very Likely
How likely are you to recommend us to your peers?	How likely are you to recommend us to your peers? Very Unlikely	How likely are you to recommend us to your peers? Moderately Unlikely	How likely are you to recommend us to your peers? Unsure	How likely are you to recommend us to your peers? Moderately Likely	How likely are you to recommend us to your peers? Very Likely

Additional comments/recommendations/ideas on referrals:

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* 9. Fees

	Very Unfair	Moderately Unfair	Unsure	Moderately Fair	Very Fair
How would you rate our fees?	How would you rate our fees? Very Unfair	How would you rate our fees? Moderately Unfair	How would you rate our fees? Unsure	How would you rate our fees? Moderately Fair	How would you rate our fees? Very Fair

Additional comments/recommendations/ideas on fees:

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* 10. Additional Feedback or Comments - Please share any additional ideas, thoughts or feedback with us!!

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* 11. [OPTIONAL] To be eligible to win a $150 Indigo/Chapters Gift Card, please provide your contact information below:

Name

Email Address

Phone Number