Motor Insurance Survey

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1. Who is your current motor insurance provider?

Who is your current motor insurance provider?

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2. What model is your primary vehicle?

What model is your primary vehicle?

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3. When is your motor insurance due?

When is your motor insurance due?

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4. How would you rate your current insurance provider?

	Poor	Average	Good	Excellent	N/A
sales	*How would you rate your current insurance provider? sales Poor	sales Average	sales Good	sales Excellent	sales N/A
service	service Poor	service Average	service Good	service Excellent	service N/A
price	price Poor	price Average	price Good	price Excellent	price N/A
policy content	policy content Poor	policy content Average	policy content Good	policy content Excellent	policy content N/A
after sales	after sales Poor	after sales Average	after sales Good	after sales Excellent	after sales N/A
claims (if used)	claims (if used) Poor	claims (if used) Average	claims (if used) Good	claims (if used) Excellent	claims (if used) N/A
overall rating	overall rating Poor	overall rating Average	overall rating Good	overall rating Excellent	overall rating N/A

Other (please specify)

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5. Would you recommend your current insurance provider?

	Yes	Maybe	No
Recommend	*Would you recommend your current insurance provider? Recommend Yes	Recommend Maybe	Recommend No

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6. Please supply your contact details
(Only name, postcode and email address are mandatory)

Please supply your contact details (Only name, postcode and email address are mandatory) Name:
Address 1:
Address 2:
City/Town:
County:
Post Code:
Country:
Email Address:
Phone Number:

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7. We value your privacy.

We will not share your details with randomly selected companies however, in order to help improve insurance services, we may need to pass these results back to carefully selected 3rd Parties, relevant to this survey.

Are you happy for us to use your details only for this purpose?

We value your privacy. We will not share your details with randomly selected companies however, in order to help improve insurance services, we may need to pass these results back to carefully selected 3rd Parties, relevant to this survey. Are you happy for us to use your details only for this purpose? Yes

Motor Insurance Survey
Exit this survey

1. Default Section

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1. Who is your current motor insurance provider?

*
2. What model is your primary vehicle?

*
3. When is your motor insurance due?

*
4. How would you rate your current insurance provider?

*
5. Would you recommend your current insurance provider?

*
6. Please supply your contact details
(Only name, postcode and email address are mandatory)

Motor Insurance SurveyExit this survey

1. Default Section

*1. Who is your current motor insurance provider?

*2. What model is your primary vehicle?

*3. When is your motor insurance due?

*4. How would you rate your current insurance provider?

*5. Would you recommend your current insurance provider?

*6. Please supply your contact details(Only name, postcode and email address are mandatory)

Motor Insurance Survey
Exit this survey

*
1. Who is your current motor insurance provider?

*
2. What model is your primary vehicle?

*
3. When is your motor insurance due?

*
4. How would you rate your current insurance provider?

*
5. Would you recommend your current insurance provider?

*
6. Please supply your contact details
(Only name, postcode and email address are mandatory)