Feedback survey

Answers are strictly confidential

Give Us Your Feedback

We strive to provide our members a wonderful experience by supplying them with the highest level of service along with the best products available. We want our exclusive and national program to be convenient, educational, and friendly. We truly value your feedback in hopes of continuing to better ourselves and our offerings. Please take a few minutes to answer the following questions regarding your experience. Thank You!









Please answer each of the following questions relating to your recent insurance purchase experience. Please use a 1 to 5 scale, where 1 means "Not at all" and 5 means "Absolutely."

Your Overall Experience

 12345 
Not at all Absolutely
1. Did we treat you in a friendly manner and make you feel valued?

Not at all Absolutely
2. Did we sufficiently answer all of your questions?

Not at all Absolutely
3. Were we readily available when you needed us?

Not at all Absolutely
4. Will you recommend our program to a family member or friend?

I have no comments I have comments
5. What do you like most about our program?


I have no comments I have comments
6. What do you like least about our program?


I have no comments I have comments
7. Are there any other products you would like us to offer?

Agent Experience

 12345 
Not at all Absolutely
1. The agent was knowledgeable regarding the products of my interests.

Not at all Absolutely
2. The information was relayed to me in a professional, organized, and convenient manner.

Not at all Absolutely
3. The agent cared to help me make an educated decision.

Not at all Absolutely
4. After speaking to the agent, I felt confident with my decision.

Not at all Absolutely
5. I would recommend the agent to a family member or friend.

Website Experience

 12345 
Not at all Absolutely
1. The website is easy to navigate.

Not at all Absolutely
2. The website is informative and educational.

Not at all Absolutely
3. The website material is organized.

No Yes
4. Any suggestions to improve the website?

This completes our survey!

Your feedback will help us continue to improve our association program. Thank you!

I have no comments I have comments
Any final Comments...
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