Northbridge Insurance Broker Connectivity Survey

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* 1. Name

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* 2. Email

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* 3. Brokerage

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* 4. Customer Name (Optional)

To what extent do you agree with the following statements?

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* 5. Creating the submission is simple and straightforward, it's easy to identify operations and answer the dynamic questions.

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Comments (Optional)

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* 6. Northbridge provided an automatic quote or was quick to reach out if it was referred to an underwriter.

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Not Applicable

Comments (optional)

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* 7. I am choosing to send business to Northbridge digitally:

Always

Majority of time

Often

Occasionally

Comments (optional)

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* 8. What, if any, key features or improvements would encourage you to send more of your business to Northbridge digitally?

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* 9. We'd love to hear your thoughts, in your own words.

Northbridge Financial Corporation or its affiliates may anonymously quote any feedback you provide in public facing promotional or marketing materials.