Claims Satisfaction Survey

Policy Number

Question Title

* 1. Policy Number

Adjuster's Name

Question Title

* 2. Adjuster's Name

Was the claims process explained to me clearly?

Question Title

* 3. Was the claims process explained to me clearly?

Yes

Partially

Overall when contacting your Adjuster, was a response received in a timely manner:

Question Title

* 4. Overall when contacting your Adjuster, was a response received in a timely manner:

	Most of the time	Sometimes	Rarely	Not Applicable
Telephone	Telephone Most of the time	Telephone Sometimes	Telephone Rarely	Telephone Not Applicable
Email	Email Most of the time	Email Sometimes	Email Rarely	Email Not Applicable

Overall, I would describe the Claims Staff as:

Question Title

* 5. Overall, I would describe the Claims Staff as:

	Most of the Time	Sometimes	Rarely	Not Applicable
Positive and Helpful	Positive and Helpful Most of the Time	Positive and Helpful Sometimes	Positive and Helpful Rarely	Positive and Helpful Not Applicable
Courteous	Courteous Most of the Time	Courteous Sometimes	Courteous Rarely	Courteous Not Applicable
Knowledgeable	Knowledgeable Most of the Time	Knowledgeable Sometimes	Knowledgeable Rarely	Knowledgeable Not Applicable
Informative	Informative Most of the Time	Informative Sometimes	Informative Rarely	Informative Not Applicable
Met Expectations	Met Expectations Most of the Time	Met Expectations Sometimes	Met Expectations Rarely	Met Expectations Not Applicable

Comments?

Was your claim settled promptly?

Question Title

* 6. Was your claim settled promptly?

Yes

Not certain

Overall were you satisfied with how your claim was handled?

Question Title

* 7. Overall were you satisfied with how your claim was handled?

Very satisfied

Satisfied

Neutral

Dissatisfied

Very dissatisfied

If you would like to provide any additional comments on your claims experience please provide in the space below:

Question Title

* 8. If you would like to provide any additional comments on your claims experience please provide in the space below:

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:

Question Title

* 9. 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: