* 1. How satisfied were you with the service you received?

* 2. Was your service prompt?

* 3. Do you have any suggestions for improving our service?

* 4. Do we write all of your insurance?

* 5. Have you ever considered a long-term care policy?

* 6. Have you ever used/visted our website (www.rgvi.com)?

* 7. Would you recommend Rogers, Gunter, Vaughn Insurance to your family, friends and colleagues?

* 8. Additional Comments

* 9. About You (Optional)

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