ACI Specialty Benefits Corporation | SUPERVISORY REFERRAL SURVEY

Manager / Supervisor

Supervisory Referral Survey


Please fill out the questionnaire as completely as possible. Red items are a required field.

I am a:
Name of the Employer who sponsors the E.A.P.
E.A.P. Case Manager's Name
Date of Supervisory Referral Request
When I spoke with the Case Manager, I received informative and courteous service.
When I called the E.A.P. Provider I was given prompt attention
When I called the E.A.P. Provider I was treated in a professional manner.
I was given case updates in a timely manner
When I contacted the E.A.P. Case Manager I was given prompt attention.
When contacted by the E.A.P. Case Manager, I was treated in a professional manner.
The supervisory referral process was simple, easily understood, and worth the time.
Overall, in terms of the problem the E.A.P. was contacted for, do you feel that the problem was:
In terms of overall satisfaction with the E.A.P service, from the referral process to the closing of the case, how satisfied were you with the service?
Would you recommend the E.A.P to other Managers or Supervisors?