How Are We Doing?

1. Name: (First/MI/Last)
2. Street Address *  
3. City *  
4. State * South Dakota Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming  
5. ZIP Code *  
6. Email Address *  
7. Phone: (Daytime) - -
8. How do you prefer to be contacted?

   EmailMailTextPhone

1. In your most recent customer service experience, how did you contact the representative?

   By Telephone
   By Email
   Other
2. Sufficient information was available on the internet to answer my insurance questions.

   Strongly Agree
   Agree
   Neutral
   Disagree
   Strongly Disagree
3. About how long did you have to wait before speaking to a representative?

   I was taken care of immediately
   Within 3 minutes
   3-5 minutes
   More than 5 minutes
   Left a voicemail
4. Did our representative: (select all that apply)

   Quickly identify the problem
   Seem knowledgeable and competent
   Help you understand the cause and solution to the problem
   Handle issues with courtesy and professionalism
5. About how long did it take to get this problem resolved?

   Immediate Resolution
   Less than a day
   Between 2 and 3 days
   Between 3 and 5 days
   More than a week
   The problem is still not resolved
6. Overall, how satisfied are you with the customer service experience?

   Very Satisfied
   Somewhat Satisfied
   Neutral
   Somewhat Dissatisfied
   Very Dissatisfied
7. 1. If you were less than totally satisfied, what could have been done to serve you better?

Thank you for your feedback. We sincerely appreciate you honest opinion and will take your input into consideration while providing products and services in the future.

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