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Feedback Survey
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Your Name
(Required.)
Company
Address
City
State
Zip Code
Phone Number
*
E-mail Address
(Required.)
How would you classify your business?
P&C Retail Agency
Life/ Accident & Health Agency
MGA/ Wholesaler
Workplace Marketer
Other
On a scale of 1-5 (1- low/5- high), how would you rate the overall look & feel of our new site?
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5
On the same scale, how would you rate the website's page to page navigation?
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2
3
4
5
What do you like best about the site?
What do you think could be improved on this site?
Please let our management know how our staff is assisting your professional and management liability needs below: