Thank you for taking the time to share your valuable feedback. Your responses will help us improve our services and products.
Please rate your agreement with the following statements on a scale of 1 to 5, where 1 = Strongly Disagree and 5 = Strongly Agree.
Statement | Rating | ||
|---|---|---|---|
A | B | ||
1 | 1. Overall Satisfaction - I am satisfied with my overall experience with [Insurance Company Name]. | ||
2 | 2. Value - I believe the insurance coverage I receive offers good value for the premium paid. | ||
3 | 3. Trust - I trust [Insurance Company Name] to be there for me when I need them. |
4. Likelihood to Recommend (Net Promoter Score) On a scale of 0 to 10, where 1 = Not at all likely and 10 = Extremely likely, how likely are you to recommend [Insurance Company Name] to a friend or colleague?
5. Open Feedback What is the single most important thing [Insurance Company Name] does well?
What is the one thing we could do to significantly improve your experience?
Please rate your agreement with the following statements on a scale of 1 to 5, where 1 = Strongly Disagree and 5 = Strongly Agree.
Statement | Rating | ||
|---|---|---|---|
A | B | ||
1 | 6. Information Clarity - The details of my policy (coverage, limits, and terms) were clearly explained. | ||
2 | 7. Purchase Ease - The process of purchasing/renewing my policy was easy and straightforward. | ||
3 | 8. Digital Experience - The company website/mobile app is easy to navigate and useful. | ||
4 | 9. Advisor/Representative - My agent or representative was knowledgeable and responsive. | ||
5 | 10. Communications - Communications from the company (emails, letters) are relevant and not excessive. |
11. Communication Preference How do you prefer to interact with us for routine policy questions or updates? (Select all that apply)
Phone/Voice Call
Company Website/Online Portal
Mobile App
In-person (at an office)
Other:
12. Claim Filing - Have you filed a claim with [Insurance Company Name] in the last 12 months?
Yes (Continue to question 13)
No (Skip to Section 4)
If Yes, please rate your agreement with the following statements (1 = Strongly Disagree, 5 = Strongly Agree):
Statement | Rating | ||
|---|---|---|---|
A | B | ||
1 | 13. Ease of Filing - It was easy to submit my claim. | ||
2 | 14. Communication - I was kept well-informed about the status of my claim throughout the process. | ||
3 | 15. Speed - The speed of the claims resolution (settlement/payment) was satisfactory. | ||
4 | 16. Fairness - I was satisfied with the final settlement or outcome of my claim. | ||
5 | 17. Claims Representative - The claims representative was professional and helpful. |
18. Open Feedback on Claims What was the best part of your claims experience?
What was the most challenging part of your claims experience?
19. Current Policies Which types of policies do you currently hold with [Insurance Company Name]? (Select all that apply)
Auto/Motor Vehicle Insurance
Homeowners/Property Insurance
Renters Insurance
Life Insurance
Health/Medical Insurance
Business/Commercial Insurance
Travel Insurance
Other:
20. Future Interest How interested are you in learning about other insurance products offered by us?
Very Interested
Somewhat Interested
Not Interested
21. Policy Needs Do you feel your current policy/policies still meet all of your needs?
Yes, completely
Mostly, but there are gaps
No, I feel underinsured
22. Influencing Factors Which factor is most important to you when choosing an insurance provider?
Competitive Price/Premium
Broadness of Coverage Options
Company Reputation/Financial Stability
Quality of Customer Service
Speed and Ease of Claims Process
Thank you once again for your feedback!
To configure an element, select it on the form.