Customer Survey

All fields are optional. We will never share or solicit any information provided on the surveys with other individuals or companies. View our Privacy Policy.

Name:
Email Address:
Age
Township	Choose One Albion Medina Kendall Holley Gaines Elba Barre Carlton Lyndonville Murray Ridgeway Shelby Yates Other
What is your resident status?	Choose One Homeowner Renter Live at Home/College Other
Who at Albion Agencies do you typically discuss you insurance with?	Choose One Chris Connie Gail Roz Sharon Tracy Several people I don't know
How would you rate the payment options we offer?	Very Poor Poor Average Good Very Good
How do we handle your questions?	Very Poorly Poorly Average Well Very Well
How convenient is Albion Agencies?	Very Inconvenient Inconvenient Average Convenient Very Convenient
If you have had a claim with us, how was it handled overall?	Very Poor Poor Average Well Very Well
How Would You Rate the Overall Quality of Our Service?	Very Poor Poor Average Good Very Good
On a scale of 1-6, 6 being extremely important and 1 being not important at all, how important is 'price' when choosing an insurance company?	1 2 3 4 5 6
On a scale of 1-6, 6 being extremely important and 1 being not important at all, how important is 'personal service' when choosing an insurance company?	1 2 3 4 5 6
On a scale of 1-6, 6 being extremely important and 1 being not important at all, how important is 'community support' when choosing an insurance company?	1 2 3 4 5 6
On a scale of 1-6, 6 being extremely important and 1 being not important at all, how important is 'claims handling' when choosing an insurance company?	1 2 3 4 5 6
On a scale of 1-6, 6 being extremely important and 1 being not important at all, how important is 'coverages offered' when choosing an insurance company?	1 2 3 4 5 6
How many minutes do you spend online per day?	Choose One Almost None 15 or Less 15-30 30-60 60+ I don't know
How often do you check your e-mail?	Choose One Several times daily Daily Every couple days One a week Infrequently I don't have e-mail
What are your primary uses for the Internet?	Shopping Searching Hobbies Emailing Chat Weather News Sports Entertainment Family Pictures
Are you interested in participating in our online promotions such as the Refer-a-Friend program?	Choose One Yes No Maybe
What would be the most convenient way for you to get your questions answered?	Choose One Phone Office Visit E-mail Online MSN Chat Online AIM Chat
Do you recommend Albion Agencies to your friends and family?	Choose One Yes No Not Yet
How often do you think you will reference our online insurance resources?	Choose One Very Often Often Occasionally Rarely Never
What types of insurance do you currently have?	Home Auto Business Life Long-Term Care Renters Landlords Farm Personal Umbrella Mobile Home Recreational Vehicle None
What types of insurance do you insure with us?	Home Auto Business Life Long-Term Care Renters Landlords Farm Personal Umbrella Mobile Home Recreational Vehicle None
What types of insurance would you be interested in getting a quote on?	Home Auto Business Life Long-Term Care Renters Landlords Farm Personal Umbrella Mobile Home Recreational Vehicle None
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