*
1. how did you hear about us?
A
friend or neighbor recommended the agency.
My
family does business with the agency.
The
agency has a convenient location.
I responded
to agency advertising.
The
agency contacted me directly.
The
agency had the best price.
The
agency had the most professional, knowledgeable and
helpful staff.
Other
* 2.
Were we courteous and friendly when you contacted us?
Please Select
Yes
No
If
you answered "No,"
* 3.
Do you feel our advice is timely, up-to-date and appropriate
for your specific needs?
Please Select
Yes
No
If
you answered "No,"
* 4.
Did the agent spend time with you to review the coverage's,
and did you feel comfortable understanding what is covered?
Please Select
Yes
No
* 5.
Did our agent explain what to do in the event you have
to file a claim or need customer service after hours?
Please Select
Yes
No
* 6.
Did they agent explain to you the discounts you received
for having multiple policies with our agency?
Please Select
Yes
No
* 7.
Did the agent tell you about other services that MGI
offers, such as Life, IRA, Commercial and Disability?
Please Select
Yes
No
* 8.
Would you like an agent to review any of the following
with you?
Mortgage
Protection
Disability/Life
Retirement
Business
Insurance
Health
(Ind. /Group)
Homeowners
Auto
* 9.
How often would you like us to contact you to review
your insurance?
Monthly
Quarterly
Semi-Annually
Annually
Other
If Other list here:
* 10.
What do you feel are our weakest points as an agency?
* 11.
What do you feel are our strongest points as an agency?
* 12.
What would you have us improve or change in the buying
process to better serve you?
* 13.
Please tell us about your overall satisfaction by rating
us from 1 to 10 , with 1 being the lowest and 10 the
highest:
Please Select
1
2
3
4
5
6
7
8
9
10
* 14.
Would you recommend MGI to your family, friends and
coworkers?
Please Select
Yes
No
Your
Name: (optional)
Your
Email address: (Required)
I
have a Referral!
Your
referral's Name:
Your
Referral's Phone Number:
Comments:
Enter Code as Shown
