Please rate the following on a scale of 1 to 5, with 1 = poor, 5 = excellent

Customer Service

1. Our staff provides courteous service                                                                              1 2 3 4 5

2. Our customer service staff is knowledgeable                                                                  1 2 3 4 5

3. Our staff is available when you call or visit                                                                     1 2 3 4 5

4. Your phone calls are returned promptly                                                                         1 2 3 4 5

5. Our handling of your claims                                                                                           1 2 3 4 5

6. Management is available if problems arise                                                                      1 2 3 4 5

7.Your agent tries to provide the best products for the best value                                       1 2 3 4 5

8. Your agent gives accurate quotes                                                                                   1 2 3 4 5

9.Our staff keeps you updated on changes which may affect your coverage or premium      1 2 3 4 5

10.We take a consultative approach and recommend coverage's when needed                   1 2 3 4 5

General Office Operations

1. Our telephone system                                                                                                    1 2 3 4 5

2. The automation / computer system we use                                                                     1 2 3 4 5

3.Where our office is located                                                                                             1 2 3 4 5

4.Our office hours                                                                                                             1 2 3 4 5

Quality Of Products & Companies Represented

1. The insurance companies that we represent                                                                   1 2 3 4 5

2. Our products are competitive                                                                                        1 2 3 4 5

3.The type of products that we offer                                                                                  1 2 3 4 5

4. Our office hours                                                                                                            1 2 3 4 5

Comments

1. Why do you do business with our agency?

2. What irritates you the most about doing business with us?

3. If we could change just one thing or make just one aspect of your experience with us better, what would that be?

Optional