Thank you for being a Pekin customer and for taking the time to share your feedback with us. Your feedback is extremely important and helps us continue to improve our service to you.

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* 1. How would you rate your overall satisfaction with Pekin Insurance?

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* 2. Is there specific feedback you would like to share with us today?

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* 3. What does your feedback relate to?

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* 4. What type of insurance policy does your feedback relate to?

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* 5. To what extent do you agree or disagree with the following statement: "Pekin Insurance makes it easy for me to do business with them."

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* 6. Would you like someone to follow-up with you?

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* 7. Would you be interested in joining our research panel to help us improve your experience with Pekin Insurance?

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* 8. Your contact information if you'd like us to follow up with you or if you would like to join our research panel:

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