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Keep us heading the right direction, and take a few moments to give us your valued comments on how we might improve our services.

1. Agent Name:

Agent Name:

2. Was your call handled in a courteous and efficient manner ?

Was your call handled in a courteous and efficient manner ?

3. Please rate our...

	Very Good	Satisfactory	Needs Improvement
Helpfulness of Staff	*Please rate our... Helpfulness of Staff Very Good	Helpfulness of Staff Satisfactory	Helpfulness of Staff Needs Improvement
Timeliness of Service	Timeliness of Service Very Good	Timeliness of Service Satisfactory	Timeliness of Service Needs Improvement
Quality of Service	Quality of Service Very Good	Quality of Service Satisfactory	Quality of Service Needs Improvement

4. Did you receive accurate information, both verbally and in writing ?

Did you receive accurate information, both verbally and in writing ?

5. Would you recommend us to others ?

Would you recommend us to others ? Yes

6. Name:

Name:

7. Phone Number:

Phone Number:

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