Customer Satisfaction Survey

"Your Input Matters..., Help Us Help You!"

Please take a few moments to complete this survey which will help (EVBS) Insurance Agency, Inc. measure your "satisfaction" as a customer. Keep in mind that all information gathered is private and NOT shared with any additional parties only but for the purposes of measuring your satisfaction as a customer. By pressing "submit" you are aware of this privacy standard objective.

Question Title

* 1. What insurance servicing needs were you helped with?

Claims or Wellness Inquiry

Servicing and/or Reinstatement of Insurance Plan Enrollment

Explanation of Existing Coverage/Plans

New Insurance Plan Enrollment

A Combination of "2 or More of The Above"

Question Title

* 2. How quickly did the Agent respond back to you by email, by text message and/or by phone?

Extremely responsive

Very responsive

Somewhat responsive

Not so responsive

Not at all responsive

Not Applicable (N/A)

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* 3. Being responsive and efficient, was the Agent professional?

Extremely professional

Very professional

Somewhat professional

Not so professional

Not at all professional

Question Title

* 4. Was the Agent helpful and knowledgeable?

A great deal

A lot

A moderate amount

A little

None at all

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* 5. How "clear" was the Agent in explaining the insurance information?

Extremely clear

Very clear

Somewhat clear

Not so clear

Not at all clear

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* 6. Did the Agent completely address your questions and/or concerns?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied or (N/A)

Dissatisfied

Very dissatisfied

Question Title

* 7. Was the Agent "pro-active" with giving you future insurance plan considerations mentioning "other" insurance/non- insurance products?

Extremely effective

Very effective

Somewhat effective

Not so effective

Not at all effective

Not Applicable (N/A)

Question Title

* 8. Are you confident that the "recommendation" you received from the Agent "met your insurance needs?"

Extremely confident

Very confident

Somewhat confident

Not so confident

Not at all confident

Not Applicable (N/A)

Question Title

* 9. Would you recommend that this Agent continue to visit your office location/department?

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* 10. How likely is it that you would recommend this agency (EVBS) and/or this Agent to a friend or colleague?

Not at all likely

Extremely likely

Question Title

* 11. How satisfied are you with (EVBS) website: www.evbsinsurance.com?

Very Dissatisfied

Dissatisfied

Neither Satisfied nor Dissatisfied

Satisfied

Very Satisfied

N/A

Very Dissatisfied

Dissatisfied

Neither Satisfied nor Dissatisfied

Satisfied

Very Satisfied

N/A

Question Title

* 12. May we use your comments on the website? (Example: 1st Initial then Last Name = "C. Williamson")

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* 13. Keeping "Your Identity" named as "Anonymous," may we use your comments on the website?

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* 14. Would you be interested in receiving NEW insurance/non product updates by email?

If so, please enter in a valid email address.

Question Title

* 15. Overall, how satisfied are you with the service and/or sales expertise of Marcellus A. Nunley, from (EVBS) Insurance Agency, Inc.?

Very Dissatisfied

Dissatisfied

Neither Satisfied nor Dissatisfied

Satisfied

Very Satisfied

Very Dissatisfied

Dissatisfied

Neither Satisfied nor Dissatisfied

Satisfied

Very Satisfied

Other (please specify)

Question Title

* 16. Customer Comments & Suggestions:

Enter Personal Comments/Suggestions:

Enter Full Name:

Enter Email Address:

Enter Department Location: Or (N/A)