1. Your Information

Please complete this questionnaire within three business days from receipt. Your answers are confidential and will be sent directly to Dave O’Reilly.

This questionnaire is designed to accomplish two things:
1) To help determine if IPA’s program is a good fit for you and your business goals.
2) To help make the next step, our program overview call, as productive as possible.

The questionnaire includes general questions about your history in the property and casualty insurance industry and more specific questions relating to your wants and needs. It is essential to be as honest and accurate as possible.

Question Title

* 1. Who are you?

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