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Policyholder Satisfaction Survey
1.
Name
2.
Email address
3.
Policy Number
4.
Agent/Broker Name
5.
Overall when contacting your Agent/Broker, was a response received in a timely manner:
Most of the time
Sometimes
Rarely
Not Applicable
Telephone
Most of the time
Sometimes
Rarely
Not Applicable
Email
Most of the time
Sometimes
Rarely
Not Applicable
6.
Overall, how would you describe your experience:
Most of the Time
Sometimes
Rarely
Not Applicable
Positive and Helpful
Most of the Time
Sometimes
Rarely
Not Applicable
Courteous
Most of the Time
Sometimes
Rarely
Not Applicable
Knowledgeable
Most of the Time
Sometimes
Rarely
Not Applicable
Informative
Most of the Time
Sometimes
Rarely
Not Applicable
Professional
Most of the Time
Sometimes
Rarely
Not Applicable
Comments?
7.
Was your request dealt with promptly?
Yes
No
Not certain
8.
Was your policy/coverage explained to you clearly?
Yes
No
Partially
9.
How satisfied were you with the coverage options available?
Very satisfied
Satisfied
Unsatisfied
Comment
10.
Overall were you satisfied with your experience?
Very satisfied
Satisfied
Neutral
Dissatisfied
Very dissatisfied
11.
How likely is it that you would recommend our company to others?
Yes
No
Maybe
12.
If you would like to provide any additional comments or suggestions to improve your policyholder experience please provide in the space below:
13.
If you would like a representative at West Wawanosh Mutual to contact you to discuss your experience or any other product or service, please provide your information below:
Name:
Contact Number:
Email:
