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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
Disability
Home
Life
Pet
Property
Health
Credit
Mortgage
Casualty
Long-term care
Business
Automobile
Renter's
Other (please specify)
2.
Which type of insurance is most important to you?
Credit
Liability
Casualty
Disability
Business
Pet
Home
Automobile
Life
Mortgage
Long-term care
Property
Health
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 brokers
Association or club recommendations
Family or friend recommendations
Insurance rating agencies (e.g., A. M. Best)
Internet
Other (please specify)
5.
Which source of information do you find most helpful when choosing an insurance agent?
Insurance broker
Family or friend recommendation
Insurance rating agency (e.g., A. M. Best)
Association or club recommendation
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