Management Satisfaction Survey

The following questions provide an ongoing system for auditing the quality of the management referral reports produced by Workplace Health and Wellbeing. We very much value your feedback and it would be appreciated if you could spare a few moments to complete the questions below. All replies will be dealt with in the strictest confidence. Please answer all the questions.

1. Survey Questions

1. Are you...
the employee?line manager?HR Manager?

2. Which organisation do you work for?

3. Did you receive the report via post, fax, encrypted email or directly into an NHS email account?
NHS emailEncrypted emailFaxPost

4. Does the report answer the questions you asked in your referral?

5. Is the language used in the OH practitioner's report clear?

6. Did the report clearly state the date of the appointment?

7. Did you find the report provided you with an appropriate understanding of the individual's current health?


8. Did the report indicate the impact of the individual's health on their work?


9. Is the report specific enough for your needs?

10. Were the recommendations in the OH practitioner's report realistic in terms of implementation?

11. Was your organisation able to accommodate the recommendations/ adjustments for the individual?

12. Overall, how helpful has the OH practitioner's report been in the management of your staff member?
ExcellentVery goodGoodFairPoorVery poor

13. Any comments you would like to make about the referral process or services received

14. Would you like a response to the above feedback on this form, from Workplace Health and Wellbeing?

2. Contact Details

Contact Name

Contact Phone Number

Contact Address