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Insurance Customer Feedback Template
1.
Which of the following types of insurance do you currently have? (Check all that apply)
Pet
Casualty
Property
Health
Life
Business
Credit
Home
Long-term care
Disability
Liability
Mortgage
Automobile
Renter's
Other (please specify)
2.
Which type of insurance is most important to you?
Casualty
Liability
Disability
Business
Long-term care
Life
Health
Mortgage
Pet
Property
Automobile
Credit
Home
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)
Association or club recommendations
Insurance brokers
Insurance rating agencies (e.g., A. M. Best)
Family or friend recommendations
Internet
Other (please specify)
5.
Which source of information do you find most helpful when choosing an insurance agent?
Insurance broker
Insurance rating agency (e.g., A. M. Best)
Association or club recommendation
Family or friend 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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2
3
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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