Referral Source Satisfaction Survey


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

    Your Name:

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    How satisfied are you with…

    our referral process?

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    how quickly we responded with an assessment?

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    how soon we could book an assessment?

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    how quickly we delivered your report?

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    the method of report delivery?

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    the quality of our reports?

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    our customer service?

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    the Information Technology used to support and deliver our services?

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    Benchmark IME overall?

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    Any comments/feedback/questions you may have:

    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.


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      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
      Email: referrals@benchmarkime.com