Wufoo
Associates Insurance Feedback Form
As a service-focused, relationship-driven insurance agency, Associates Insurance Agency relies on your feedback to help ensure that we're providing the value and the service you expect.
Please take this opportunity to help us improve by answering the questions below. Your feedback will be taken seriously and promptly forwarded to the leaders whos departments are doing a good job, as well as those that need improvement and will benefit from your input.
In which state do you reside?
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WI
MI
MN
IA
IL
MO
NE
Are you currently an Associates customer?
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Yes
No
If no, are you...?
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Insured through another company
Uninsured
If yes, what insurance is Associates providing you?
Home/Auto
Commercial
Farm
Life
Health
Have you dealt directly with an Associates Owner/ Employee?
*
Yes
No
If yes, to what extent did that Owner/Employee enhance your level of confidence and trust in Associates?
1
2
3
4
5
6
7
8
9
10
To what extent do you think Associates really cares about you?
1
2
3
4
5
6
7
8
9
10
Please tell us the reason(s) for your answer to the above question:
In general, it's easy for me to do business with Associates.
Yes
No
Please tell us the reason(s) for your answer to the above question:
What is the single most important step Associates can take to improve our service to you?
Name
Title
First
Last
Suffix
Policy #
Email
Phone
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