Customer Name First Last Insurance Company Please rate the following on a scale of 1 to 10 (1 = poor; 10 = excellent) The treatment you received from your insurance carrier if we handled your original call.12345678910The treatment you received from the Claims Representative that answered your claim questions.12345678910Overall handling and timeliness of settling your claim.12345678910Overall satisfaction with our agency and the assistance with your claim.12345678910Would you briefly describe your situation and how it was handled?Please tell us if you have any suggestions that may help us to serve you better in the future.Would you like to be contacted regarding this claim or any other issue?YesNo
