* 1. Policy Number

* 2. Adjuster's Name

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

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

  Most of the time Sometimes Rarely Not Applicable

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

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

* 6. Was your claim settled promptly?

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

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

* 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: