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Agent Survey

On a scale of 1 to 5, with 5 being highly favorable and 1 being not favorable please rate:

a. Your overall perception of DeCotis Insurance Associates
*

1
2
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4
5

b. DeCotis Insurance Associates communications with you *

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2
3
4
5

c. DeCotis Insurance Associates service levels (quality) *

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2
3
4
5

d. DeCotis Insurance Associates service levels (speed) *

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4
5

e. DeCotis Insurance Associates compared to its competitirs *

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5

What is DeCotis Insurance Associates greatest strength? *

What is DeCotis Insurance Associates greatest weakness? *

Overall, do you feel that service from DeCotis Insurance Associates has been better over the past 6 months? *

Of all the business you could place with DeCotis Insurance Associates, what percentage do you place? *

Do you know and understand all of DeCotis Insurance's product and service lines? *

What is the single most important thing that DeCotis Insurance Associates should do to grow its relationship with you? *

Will you consider conducting more business with DeCotis Insurance? *

Yes
No

If yes, what do we need to do to start and if no, why not?

First and Last Name

Email (we will keep it completely private)

Agency

Message

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