We want your feedback regarding our service!

Please complete this brief survey form and select the SUBMIT button at the bottom of the page.

Information provided will be kept confidential.

 

Contact Information (this section is voluntary)

Name:
Street Address:
City:   State:    ZIP:
E-Mail Address:            Fax: () -
Home Phone: () -           Work Phone: () -

 

Questionnaire

Is Al Shank Insurance easy to do business with? Yes  No
Do we handle claims to your satisfaction? Yes  No  I've not had any claims
Do we handle your account billing in a simple, efficient manner that is easy for you to pay and understand? Yes  No
Do we review your coverages often enough with you so that you feel you understand your insurance policy? Yes  No
Would you like a proposal on other coverages we do not provide for you now? Yes  No
Is so, which type(s) of coverage? Auto
Homeowners
Business
Life
Health
Would you like us to communicate with you via email? Yes No
If so, what is your e-mail address?
Additional comments:

 

Thanks for completing this survey.  Our goal is to provide the BEST customer service to you.