DEEOIC_Resource Center Survey

DIVISION OF ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION (DEEOIC)
OFFICE OF WORKERS’ COMPENSATION PROGRAMS
UNITED STATES DEPARTMENT OF LABOR

Resource Center Customer Experience Survey
Which Resource Center did you visit today?
___ California

___Denver

___Espanola

___Hanford

___Idaho

___Las Vegas

___New York

___Oak Ridge

___Paducah

___Portsmouth

___Savannah River

Please indicate the reason for your visit today.
___Filing a claim

___CompleƟng an OccupaƟonal History QuesƟonnaire interview

___Status of your claim

___Submiƫng documents

___General program informaƟon

___Other:_________________________________________________

Please indicate your answers to the
statements below by circling a response.

Strongly
Agree

___Medical bill payment assistance

Agree

Based on my experience at the Resource Centers,
I trust DEEOIC to fulfill our country’s commitment
5
4
to nuclear workers and their families.
What factors contributed to your trust raƟng? (You may select more than one)
Helpfulness/commitment level of employees
ExpectaƟons/informaƟon provided

Neutral

Disagree

3

2

Ability to get my needs addressed
Length of Ɵme of visit

Strongly
Disagree N/A

1

N/A

Ease of visit
Fairness during visit

I am saƟsfied with the service I received at the
Resource Center today.

5

4

3

2

1

N/A

My need was addressed at the Resource Center
today.

5

4

3

2

1

N/A

It was easy to complete what I needed to do at
the Resource Center today.

5

4

3

2

1

N/A

My Resource Center visit took a reasonable
amount of Ɵme.

5

4

3

2

1

N/A

I was treated fairly today.

5

4

3

2

1

N/A

Employees I interacted with today were helpful.

5

4

3

2

1

N/A

AddiƟonal feedback (please conƟnue on the back of this form if necessary):

The OMB control number for this collection is 1225-0093 and expires on 01/31/2027. According to the Paperwork Reduction Act of 1995, no person is required to respond to a
collection of information unless such collection displays a valid OMB control number. The obligation to respond to this collection is voluntary. We estimate it takes about 5
minutes to complete this collection of information, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing the collection of information. Please send comments regarding the burden estimate or any other aspect of this collection of information to the U.S. Department of
Labor, DEEOIC, 200 Constitution Ave., NW, Room C-3510, Washington, D.C. 20210 and reference OMB Control Number 1225-0093. OMB Control Number: 1225-0093
Note: Please do not return the completed form to this address.