Claims Survey

Please help us improve our service on your recent claim that has been completed, by using the scale below to rate each letter item.

Name:(Required)

First Last

Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone:

Email Address:(Required)

Please rate us:
1 = Excellent
2 = Good
3 = Fair
4 = Needs Improvement

A. Adjuster/Agent:

B. Prompt Payment:

C. Overall Opinion of Company:

D. Attention from our Staff:

E. Questions Answered:

F. Coverage: