Customer Satisfaction Survey Form

Thank you for choosing United Disability Lawyers Group to handle your disability case. We strive to provide excellent representation, and your feedback lets us know what we're doing right and where we need to work harder. Please fill out the information below, and if you want to recognize any member of our team by name, please do so!

Jacqueline Barsamian - Hearing Attorney/Federal Court Attorney
Chris Foster - Hearing Attorney
James Gannon - Hearing Attorney
Betty Herrera - Managing Attorney and Federal Court Attorney
Dewaun Lockhart - Hearing Attorney
Richard McCleary - Hearing Attorney
Dale Robbins - Hearing Attorney

Adela Arroyo - Reception/Legal Assistant
Kimberli Carter - Legal Assistant/Client Benefit Specialist
Stephanie Champagne - Legal Administrator
Zayda Ortega - Administrative Assistant
Veronica Vasquez - Legal Assistant/Records Specialist

Your name (first name and last initial ONLY):*

CLIENTS AT ALL LEVELS

	Not acceptable	Average	Excellent	(Does not apply)
How was your initial consultation?
How well did we communicate with you about your claim?
How was your overall experience with the support staff (receptionist, paralegals)?
Were you able to speak to an attorney when the support staff couldn't answer your questions?

Is there anything we could have done to create a higher level of satisfaction for you?

What was the best part of working with United Disability Lawyers Group?

Would you recommend United Disability Lawyers Group to a friend or family member to handle their disability claim?

Would you be willing to do an online review?

YesNo

CONTINUE PLEASE ONLY IF YOUR CASE WAS AWARDED AFTER HEARING

	Not acceptable	Average	Excellent	(Does not apply)
How satisfied were you with your attorney at the hearing?
Rate how well your attorney has communicated with you about your claim.
Rate how well-prepared your attorney was for the hearing.
Based on your meeting with the attorney prior to the hearing, rate how well-prepared you felt for the hearing.
After the hearing, please rate how well the attorney did to explain and summarize the hearing proceedings.

Name of your hearing Attorney

United Disability Lawyers Group Client Evaluation Form