MEMBER SURVEY EXECUTIVE MANAGEMENT CONTACT DETAILSName* First Last Council/ Organisation*Albury City CouncilArmidale Regional CouncilBallina Shire CouncilBalranald Shire CouncilBathurst Regional CouncilBega Valley Shire CouncilBellingen Shire CouncilBerrigan Shire CouncilBland Shire CouncilBlayney Shire CouncilBogan Shire CouncilBourke Shire CouncilBrewarrina Shire CouncilBroken Hill City CouncilByron Shire CouncilCabonne CouncilCampbelltown City CouncilCanterbury Bankstown CouncilCarrathool Shire CouncilCastlereagh-Macquarie County CouncilCentral Coast CouncilCentral Darling Shire CouncilCentral Murray County CouncilCentral Tablelands CountyCessnock City CouncilCity of Canada Bay CouncilCity of RydeClarence Valley CouncilCobar Shire CouncilCobar Water BoardCoffs Harbour City CouncilCoolamon Shire CouncilCoonamble Shire CouncilCootamundra Gundagai Regional CouncilCowra Shire CouncilDungog Shire CouncilEdwards River CouncilEurobodalla Shire CouncilFederation CouncilForbes Shire CouncilGeorges River CouncilGilgandra ShireGlen Innes Severn CouncilGoldenfields Water County CouncilGoulburn Mulwaree CouncilGreater Hume Shire CouncilGriffith City CouncilGunnedah Shire CouncilGwydir Shire CouncilHawkesbury River County CouncilHay Shire CouncilHilltops CouncilHornsby Shire CouncilInner West CouncilInverell Shire CouncilJunee Shire CouncilKempsey Shire CouncilKu-ring-gai CouncilKyogle CouncilLachlan Shire CouncilLake Macquarie City CouncilLeeton Shire CouncilLismore City CouncilLithgow City CouncilLiverpool Plains Shire CouncilLockhart Shire CouncilMaitland City CouncilMid Coast CouncilMoree Plains Shire CouncilMosman Municipal CouncilMurray River CouncilMurrumbidgee CouncilMuswellbrook Shire CouncilNambucca Shire CouncilNarrabri Shire CouncilNarrandera Shire CouncilNarromine Shire CouncilNew England TablelandsNewcastle City CouncilNorfolk Island Regional CouncilNorth Sydney CouncilNorthern Beaches CouncilOberon CouncilPort Macquarie-Hastings CouncilPort Stephens CouncilQueanbeyan Palerang CouncilRandwick City CouncilRiverina Water County CouncilRous County CouncilShoalhaven City CouncilSingleton CouncilSnowy Monaro Regional CouncilSnowy Valleys CouncilStrathfield CouncilSutherland Shire CouncilTamworth Regional CouncilTemora Shire CouncilTenterfield Shire CouncilTweed Shire CouncilUpper Hunter County CouncilUpper Hunter Shire CouncilUpper Lachlan Shire CouncilUpper Macquarie County CouncilUralla Shire CouncilWagga Wagga City CouncilWalcha CouncilWalgett Shire CouncilWarren Shire CouncilWarrumbungle Shire CouncilWaverley CouncilWeddin CouncilWentworth Shire CouncilWilloughby City CouncilWingecarribee Shire CouncilWoollahra Municipal CouncilYass Valley CouncilOrganisation Name Email* Phone MEMBER SURVEY1. How long have you personally had direct dealings with Statewide Mutual?* Less than 1 year 1 to 2 years 2 to 3 years 3 to 5 years > 5 years 2. How regularly do you have contact with Statewide Mutual?* Daily Weekly Fortnightly Monthly Quarterly Annually Bi-annually 3. Which of the following types of contact have you had with Statewide Mutual in the past 12 months?* Annual renewal process Chair visit Statewide Mutual Risk Management Conference Claim / incident process / claim resolution General enquiry Insurance advice and services On-site inspection / audit Risk management advice and services None of the above Other Please provide detail4. Do you know the members of your Service Delivery Team?*Please tick all that apply Board Member Executive Officer Account Chair Account Manager Regional Risk Manager Claims Consultant 5. When did you last meet with one of these contacts?* 6. On a scale of 1 to 5, please rank the following performance of your Service Delivery Team?(1 star being unsatisfactory and 5 stars being excellent.)a) Builds rapport with you and your staff*ExcellentPretty goodNeutralNot so greatUnsatisfactorya) please provide more detailb) Responds to queries within your expected timeframes*ExcellentPretty goodNeutralNot so greatUnsatisfactoryb) please provide more detailc) Provides quality advice*ExcellentPretty goodNeutralNot so greatUnsatisfactoryc) please provide more detaild) Provides up to date advice on risk, insurance and Mutual related developments*ExcellentPretty goodNeutralNot so greatUnsatisfactoryd) please provide more detaile) Proactive in identifying and addressing potential changes needed to your risk program*ExcellentPretty goodNeutralNot so greatUnsatisfactorye) please provide more detailf) Responds promptly to claims notifications*ExcellentPretty goodNeutralNot so greatUnsatisfactoryf) please provide more detailg) Keeps you up to date on contentious claims issues*ExcellentPretty goodNeutralNot so greatUnsatisfactoryg) please provide more detailh) Provides satisfactory advice, information and assistance in managing and settling claims*ExcellentPretty goodNeutralNot so greatUnsatisfactoryh) please provide more detail7. To assist us in producing relevant content in our educational and marketing material, please identify which of the following topics are of interest to you?* Emerging trends and issues Claims updates on relevant successful and unsuccessful claims and legal cases Claims case studies and trends Risk management practices and approaches Training, education and tools Other 7a. Please provide other topics of interest(Click the + sign for a new line) 8. How would you rate the importance of the following?*(1 being do not value at all and 5 being highly value):1. Do not value at all2. Value a little3. Neutral4. Somewhat value5. Highly valueParticipation in Board InitiativesIn-house claims servicesAccessibility and support provided by your dedicated Regional Risk ManagerAccessibility and support provided by your dedicated Account ManagerLevel of knowledge expertise of your Service Delivery TeamEquity in Statewide MutualRebate program9. Please rank the following in order of importance:(1 being the most important and 5 being the least important)Broad levels of cover specific to local governmentAdequacy of limits providedStability of premiums year on yearPriceLevel of service provided10. Do you feel adequately equipped to respond to your stakeholders and elected members in relation to Statewide Mutual and your insurance arrangements?* Yes No Please provide more detail11. What is the most important part of our service delivery to you and your organisation?*12. What improvements to our service delivery would you like to see developed?*13. Do you believe there is value in being part of Statewide Mutual?* Yes No Please provide additional details14. What industry events have you attended in the last 12 months?* Statewide Mutual Risk Management Conference Statewide Mutual Mock Trial A presentation or workshop presented by your Regional Risk Manager or Account Manager LGNSW Annual Conference IPWEA Annual Conference Local Government NSW Property Professionals Conference LG Professionals NSW LG Professionals Australia ALGA National General Assembly Other Please list any other industry events attended 15. Overall, have we successfully implemented your risk program, including placement and provided your team with the necessary tools, products and services?* Yes No 16. Have we demonstrated a clear understanding of your business?* Yes No 17. Are we delivering key services as expected by you?* Yes No 18. Please provide any additional comments or feedback you would like us to considerConsent I am happy to be contacted to discuss my feedback further.
