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Insurance Customer Feedback Template
1.
Which of the following types of insurance do you currently have? (Check all that apply)
Liability
Casualty
Disability
Pet
Automobile
Property
Mortgage
Health
Credit
Home
Business
Long-term care
Life
Renter's
Other (please specify)
2.
Which type of insurance is most important to you?
Life
Long-term care
Property
Mortgage
Pet
Health
Home
Credit
Automobile
Casualty
Business
Liability
Disability
Renter's
Other (please specify)
3.
How much did you spend, in U.S. dollars, last month on automobile insurance?
4.
Which sources of information do you use when choosing an insurance agent? (Check all that apply)
Insurance rating agencies (e.g., A. M. Best)
Insurance brokers
Family or friend recommendations
Association or club recommendations
Internet
Other (please specify)
5.
Which source of information do you find most helpful when choosing an insurance agent?
Association or club recommendation
Family or friend recommendation
Insurance rating agency (e.g., A. M. Best)
Insurance broker
Internet
Other (please specify)
6.
Are you satisfied or dissatisfied with your automobile insurance agent?
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied
7.
How likely are you to continue using our business in the future?
Extremely likely
Quite likely
Moderately likely
Slightly likely
Not at all likely
8.
How likely is it that you would recommend your automobile insurance agent to a friend or colleague?
Not at all likely - 0
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9
Extremely likely - 10
Not at all likely - 0
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Extremely likely - 10
Current Progress,
0 of 8 answered