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Insurance Customer Feedback Template
1.
Which of the following types of insurance do you currently have? (Check all that apply)
Disability
Health
Mortgage
Automobile
Casualty
Long-term care
Property
Life
Credit
Liability
Pet
Home
Business
Renter's
Other (please specify)
2.
Which type of insurance is most important to you?
Automobile
Home
Property
Life
Credit
Long-term care
Pet
Health
Business
Liability
Mortgage
Disability
Casualty
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)
Family or friend recommendations
Association or club recommendations
Insurance rating agencies (e.g., A. M. Best)
Insurance brokers
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
Association or club recommendation
Insurance rating agency (e.g., A. M. Best)
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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8
9
Extremely likely - 10
Not at all likely - 0
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9
Extremely likely - 10
Current Progress,
0 of 8 answered