1.
Name:
(optional)
2.
Email Address:
(optional)
*
3.
What is your claim number?
(This will be in the subject line of the email you received with the survey link)
(Required.)
How would you rate the following:
*
4.
T
he outcome of the claim:
(Required.)
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
*
5.
L
ength of time to complete the claim:
(Required.)
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
*
6.
C
ommunication during the claim:
(Required.)
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
7.
Do you have any further comments?