CustomerService/Satisfaction
GENERAL INFORMATION:
Policy Number:
Expiration Date:
Zip Code:
Did you contact someone from H&D Insurance about your problem?
Yes
No
n/a
Have you had a problem with your policy or with H&D Insurance within the last year?
Yes
No
What types of coverage do you have with H&D Insurance?
Whole Life
Term Life
Universal Life
Disability Insurance
Variable Life
Annuity
Health Insurance
In this section, please indicate whether you disagree or agree with the statements.
Disagree
Neutral
Agree
Considering everything, I am satisfied with my insurance policy
I receive good value for the money I pay for my policy
Considering the benefits I receive, my premium is fair
I consider H&D Insurance to be my first choice to buy insurance
If the need arose, I would purchase more insurance from H&D Insurance
I would switch to another insurance company if it offered better prices
H&D Insurance's prices are competitive with other insurance companies
I would switch to a competitor if I experienced a problem with H&D Insurance's service
I am satisfied with the overall customer service I receive from my agent/broker
I would recommend my agent/broker to a friend
I expect to do more business with my agent/broker in the future
Overall, I am satisfied with how often I speak to or communicate with my agent/broker
Please rate the importance of the following factors in your decision to purchase insurance.
Unimportant
Neutral
Important
Lowest price for a specific amount of coverage
Greatest coverage for a specific premium payment
Build-up of cash value
Financial stability of company
H&D Insurance's reputation as a "good" company
Relationship with agent/broker
Recommendations by friend or acquaintance
Service provided by my agent/broker
Service provided by H&D Insurance
H&D Insurance's willingness to insure me
Overall, I am satisfied with the manner in which H&D Insurance handled my problem/complaint.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Not Applicable
