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* 1. In the past year how would you rate your experience and the quality of service that Intouch Insurance has offered you?

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* 2. How informed do you feel after your appointment?

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* 3. How likely is it that you would recommend our office to friends or family?

Not at all likely
Extremely likely

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* 4. What ONE word do you think best describes me?

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* 5. Out of all the movies you have ever seen, which is your most favorite?

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* 6. Do you have any other comments, questions, or concerns?

T