Examiner 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:

    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:

    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