First Name*

Last Name*

E-Mail*

Claim Number

When you reported your claim, was the representative friendly and helpful?*
5 - Very Helpful4321 - Not Helpful

Did your claims adjuster make first contact with you quickly to your satisfaction?*
5 - Very Quick 4321 - Not Quick

Was your claims adjuster responsive and helpful throughout the process?*
5 - Very Helpful4321 - Not Helpful

Did all representatives communicate with you clearly and in a timely fashion?*
5 - Very Helpful4321 - Not Helpful

If applicable, was your repair shop/contractor/vendor prompt, courteous and helpful?*
5 - Very Courteous & Helpful4321 - Not Courteous & Helpful

If applicable, would you recommend your repair shop/contractor/vendor to a friend?*
5 - Definitely Recommend4321 - Would Not Recommend

Please rate your claims experience overall.*
5 - Great Claims Experience4321 - Poor Claims Experience

Based on this claims experience alone, how likely would you be to recommend our company to others?*
5 - Very Likely4321 - Not Likely