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Overall, how would you rate the level of service provided by Brett Chumbley?
 
Excellent
 
Above Average
 
Average
 
Below Average
 
Poor
 
 
 
How helpful were the ergonomic assessments performed by Brett?
 
Outstanding
 
Extremely Helpful
 
Somewhat Helpful
 
Not very helpful
 
Not at all helpful
 
 
 
How promptly did Brett return telephone calls or email messages?
 
Within 24 hours
 
Within 48 hours
 
Within 72 hours
 
More than 3 days
 
Did not return communication
 
 
 
How satisfied were you with the Crisis Prevention training on helping to manage disruptive and aggressive behavior?
 
Extremely Satisfied
 
Very Satisfied
 
Somewhat Satisfied
 
Not very satisfied
 
Not at all satisfied
 
N/A
 
 
 
How often did Brett communicate resources to assist employees in working more safely?
 
Extremely Often
 
Very Often
 
Somewhat Often
 
Not very often
 
Not at all
 
 
 
Within what timeframe were ergonomic assessments delivered for your employees?
 
Less than 2 weeks
 
2 weeks
 
3 weeks
 
4 weeks
 
Ergonomic assessments were not delivered
 
 
 
If you have participated in a Threat Management Team meeting, how helpful was Brett’s skill and knowledge in this area? (Leave blank if no participation)
 
Extremely Helpful
 
Very Helpful
 
Somewhat Helpful
 
Not very helpful
 
Not at all helpful
 
 
 
How helpful has the ScoreCard been in helping you understand your entity’s workers compensation loss ratios? (Leave blank if no participation)
 
Extremely Helpful
 
Very Helpful
 
Somewhat Helpful
 
Not very helpful
 
Not at all helpful
 
 
 
Did Brett's attitude and behavior reflect THR’s mission, vision, values and promise?
 
Consistently modeled mission, vision, values, and promise
 
Sometimes modeled mission, vision, values, and promise
 
Rarely modeled mission, vision, values, and promise
 
 
 
Please provide comments on areas that can be improved by Brett Chumbley.
   
 
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