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For your auto insurance, do you have an insurance broker or do you deal direct with an insurance company?
 
Yes
 
No
 
 
 
Do you believe your auto policy protects you adequately?
 
Yes
 
No
 
 
 
Have you ever filed an auto claim?
 
Yes
 
No
 
 
If you have filed an auto claim before, how satisfied were you?
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied N/A
Service
 
 
 
Have you ever read your auto insurance policy?
 
Yes
 
No
 
 
 
If you have read your auto policy, did you understand it?
 
Yes
 
No
 
N/A
 
 
 
Have you ever felt your auto insurance broker, agent, or claims adjuster did not have your best interest in mind when handling a request?
 
Yes
 
No
 
 
 
If you answered yes to the previous question, briefly explain your experience?
   
 
 
 
If you felt your broker, agent, or claims adjuster was not handling your policy or claim properly, would you consider hiring an independent insurance consultant?
 
Yes
 
No
 
 
 
What would you pay to have a 15 minute session with an Insurance Consultant to go over your policy or claim?
   
 
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