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Insurance Customer Feedback Template
1.
Which of the following types of insurance do you currently have? (Check all that apply)
Health
Mortgage
Long-term care
Liability
Casualty
Home
Credit
Pet
Disability
Automobile
Business
Life
Property
Renter's
Other (please specify)
2.
Which type of insurance is most important to you?
Health
Pet
Automobile
Business
Liability
Disability
Long-term care
Property
Casualty
Mortgage
Home
Life
Credit
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
Insurance rating agencies (e.g., A. M. Best)
Family or friend recommendations
Association or club recommendations
Internet
Other (please specify)
5.
Which source of information do you find most helpful when choosing an insurance agent?
Family or friend recommendation
Association or club recommendation
Insurance broker
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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9
Extremely likely - 10
Not at all likely - 0
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9
Extremely likely - 10
Current Progress,
0 of 8 answered