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Insurance Customer Feedback Template
1.
Which of the following types of insurance do you currently have? (Check all that apply)
Credit
Automobile
Long-term care
Mortgage
Casualty
Home
Life
Liability
Health
Property
Pet
Disability
Business
Renter's
Other (please specify)
2.
Which type of insurance is most important to you?
Life
Home
Long-term care
Automobile
Pet
Casualty
Mortgage
Health
Credit
Business
Property
Liability
Disability
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 brokers
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
Association or club recommendation
Insurance rating agency (e.g., A. M. Best)
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
4
5
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8
9
Extremely likely - 10
Not at all likely - 0
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2
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9
Extremely likely - 10
Current Progress,
0 of 8 answered