INSURED SURVEY

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1. Please provide the following information (If not applicable, please enter N/A):

Please provide the following information (If not applicable, please enter N/A):   Name:
Company:
Email:
Phone:
Claim #:
Account#:

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2. Please rate us based on your experience with PLM, ranging from 1 meaning extremely dissatisfied and 10 being completely satisfied.

	1 Extremely Dissatisfied	2	3	4	5	6	7	8	9	10 Completely Satisfied	N/A
Overall Customer Service	*Please rate us based on your experience with PLM, ranging from 1 meaning extremely dissatisfied and 10 being completely satisfied. Overall Customer Service 1 Extremely Dissatisfied	Overall Customer Service 2	Overall Customer Service 3	Overall Customer Service 4	Overall Customer Service 5	Overall Customer Service 6	Overall Customer Service 7	Overall Customer Service 8	Overall Customer Service 9	Overall Customer Service 10 Completely Satisfied	Overall Customer Service N/A
Features and Benefits of PLM Coverage in insuring your needs	Features and Benefits of PLM Coverage in insuring your needs 1 Extremely Dissatisfied	Features and Benefits of PLM Coverage in insuring your needs 2	Features and Benefits of PLM Coverage in insuring your needs 3	Features and Benefits of PLM Coverage in insuring your needs 4	Features and Benefits of PLM Coverage in insuring your needs 5	Features and Benefits of PLM Coverage in insuring your needs 6	Features and Benefits of PLM Coverage in insuring your needs 7	Features and Benefits of PLM Coverage in insuring your needs 8	Features and Benefits of PLM Coverage in insuring your needs 9	Features and Benefits of PLM Coverage in insuring your needs 10 Completely Satisfied	Features and Benefits of PLM Coverage in insuring your needs N/A
Claims Knowledge and Service	Claims Knowledge and Service 1 Extremely Dissatisfied	Claims Knowledge and Service 2	Claims Knowledge and Service 3	Claims Knowledge and Service 4	Claims Knowledge and Service 5	Claims Knowledge and Service 6	Claims Knowledge and Service 7	Claims Knowledge and Service 8	Claims Knowledge and Service 9	Claims Knowledge and Service 10 Completely Satisfied	Claims Knowledge and Service N/A
Field Representative's Product Knowledge and Service	Field Representative's Product Knowledge and Service 1 Extremely Dissatisfied	Field Representative's Product Knowledge and Service 2	Field Representative's Product Knowledge and Service 3	Field Representative's Product Knowledge and Service 4	Field Representative's Product Knowledge and Service 5	Field Representative's Product Knowledge and Service 6	Field Representative's Product Knowledge and Service 7	Field Representative's Product Knowledge and Service 8	Field Representative's Product Knowledge and Service 9	Field Representative's Product Knowledge and Service 10 Completely Satisfied	Field Representative's Product Knowledge and Service N/A
Technical Service's Product Knowledge and Service	Technical Service's Product Knowledge and Service 1 Extremely Dissatisfied	Technical Service's Product Knowledge and Service 2	Technical Service's Product Knowledge and Service 3	Technical Service's Product Knowledge and Service 4	Technical Service's Product Knowledge and Service 5	Technical Service's Product Knowledge and Service 6	Technical Service's Product Knowledge and Service 7	Technical Service's Product Knowledge and Service 8	Technical Service's Product Knowledge and Service 9	Technical Service's Product Knowledge and Service 10 Completely Satisfied	Technical Service's Product Knowledge and Service N/A
Resolve discrepancies promptly	Resolve discrepancies promptly 1 Extremely Dissatisfied	Resolve discrepancies promptly 2	Resolve discrepancies promptly 3	Resolve discrepancies promptly 4	Resolve discrepancies promptly 5	Resolve discrepancies promptly 6	Resolve discrepancies promptly 7	Resolve discrepancies promptly 8	Resolve discrepancies promptly 9	Resolve discrepancies promptly 10 Completely Satisfied	Resolve discrepancies promptly N/A
Promptness in returning calls and emails	Promptness in returning calls and emails 1 Extremely Dissatisfied	Promptness in returning calls and emails 2	Promptness in returning calls and emails 3	Promptness in returning calls and emails 4	Promptness in returning calls and emails 5	Promptness in returning calls and emails 6	Promptness in returning calls and emails 7	Promptness in returning calls and emails 8	Promptness in returning calls and emails 9	Promptness in returning calls and emails 10 Completely Satisfied	Promptness in returning calls and emails N/A
Billing Accuracy	Billing Accuracy 1 Extremely Dissatisfied	Billing Accuracy 2	Billing Accuracy 3	Billing Accuracy 4	Billing Accuracy 5	Billing Accuracy 6	Billing Accuracy 7	Billing Accuracy 8	Billing Accuracy 9	Billing Accuracy 10 Completely Satisfied	Billing Accuracy N/A
Courtesy of the PLM employees	Courtesy of the PLM employees 1 Extremely Dissatisfied	Courtesy of the PLM employees 2	Courtesy of the PLM employees 3	Courtesy of the PLM employees 4	Courtesy of the PLM employees 5	Courtesy of the PLM employees 6	Courtesy of the PLM employees 7	Courtesy of the PLM employees 8	Courtesy of the PLM employees 9	Courtesy of the PLM employees 10 Completely Satisfied	Courtesy of the PLM employees N/A

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3. Would you recommend PLM to a colleague?

Would you recommend PLM to a colleague?   Yes No

4. Suggestions or Comments:

Suggestions or Comments: