For Insured, Underinsured And Uninsured. Survey takes about 5 minutes to complete the 37 questions.

Please fill out one survey sheet for each fire season; for each insurance company you had/have; and each type of insurance.

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* 1. Which Fire/Flood year?

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* 2. What is the zipcode of your damaged property?

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* 3. What is the school district your property is located in?

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* 4. Did you have losses?

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* 5. Were you covered by insurance at the time of the fire/flood?

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* 6. Did you make a claim?

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* 7. What type of insurance did you have?

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* 8. Who was your insurance agent?

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* 9. Who was your insurance company (underwriter)?

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* 10. I was happy with my insurance company.

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* 11. I would recommend my insurance company to a friend.

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* 12. My insurance covered what I thought it would cover.

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* 13. My claim was processed in a timely manner.

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* 14. I am happy with my insurance agent.

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* 15. My insurance agent was helpful.

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* 16. I received the claim amount that I expected.

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* 17. I was underinsured.

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* 18. I wish I had insured my property for more.

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* 19. I was able to easily complete my claim list of property.

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* 20. How much did you receive for fire damages?

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* 21. How much did you receive for flood damages?

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* 22. My insurance covered what percent of my losses?

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* 23. Was your insurance cancelled following the fire?

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* 24. If your insurance was cancelled, which fire?

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* 25. If your insurance was cancelled by your agent, what was the reason?

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* 26. If your insurance was cancelled by you, what was the reason?

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* 27. Did your insurance premium increase significantly after the fire/flood?

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* 28. If your new premium increased, what was the percentage?

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* 29. Did you know there are legal insurance time extensions and special tax considerations in the event of a Nationally declared disaster?

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* 30. Do you have homeowners/property/renters insurance now?

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* 31. What do you estimate were your losses in the fire and/or flood? Estimate in total dollar amount.

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* 32. If you did not have insurance, what is the reason?

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* 33. If denied insurance, please indicate reason.

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* 34. What is the address of your property that was affected? All personal information will be kept confidential.

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* 35. What is your name? All personal information will be kept confidential.

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* 36. What would you like to share with others as a lesson learned?

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* 37. Other Comments

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