1. How do you rate our agency's overall appearance?

Excellent Good Fair Poor

2. If your account representative professional, helpful & knowledgable?

Yes No

If no, please explain:

3. Is your salesperson professional, helpful & knowledgable?

Yes No

If no, please explain:

4. When contacting our office, is the staff able to handle your questions/requests in a managable time period?

Yes No

If no, what could we have done better to service your needs?

5. Insurance language and terminology may be difficult to comprehend. Do you feel our staff answers questions in a manner in which you understand?

Yes No

If no, please explain:

6. Has there been a policy change and/or request that our office has not been able to provide?

Yes No

If no, please explain:

7. If you have had a claim, was it handled to your satisfaction?

Yes No

If no, please explain:

We appreciate the time you have taken to answer these questions and know your time is valuable. If there is anything you wish to add, please do so here:

Thank you again for "Helping Us Help You!"