Yours is our most important business!
    Please take a few minutes to tell us how to make our service to you even better!

    Please check one box for each:
    Convenient office hours*: ExcellentFairPoor
    Convenient office location*: ExcellentFairPoor
    Polite telephone response*: ExcellentFairPoor
    Prompt phone call return*: ExcellentFairPoor
    Insurance coverage selection*: ExcellentFairPoor
    Prompt policy delivery*: ExcellentFairPoor
    Competitive price structure*: ExcellentFairPoor
    Easy-to-read correspondence*: ExcellentFairPoor
    Easy-to-read policies*: ExcellentFairPoor
    Easy-to-read invoices*: ExcellentFairPoor
    Professional sales people*: ExcellentFairPoor
    Responsive customer service*: ExcellentFairPoor
    Prompt inquiry response*: ExcellentFairPoor
    Timely renewal notices*: ExcellentFairPoor
    Prompt insurance reminders*: ExcellentFairPoor
    Frequent enough contact*: ExcellentFairPoor
    Prompt claim response*: ExcellentFairPoor
    Professional claim handling*: ExcellentFairPoor
    Fast, fair claim settlement*: ExcellentFairPoor
    Timely written confirmations*: ExcellentFairPoor
    For the following five questions, please check "YES" or "NO".
    (If "YES", please explain):
    Should additional services be made available? YesNo
    Should additional products be made available? YesNo
    Should our service structure be changed? YesNo
    Should our service days or hours be extended? YesNo
    Would you prefer more frequent contact or coverage reviews? YesNo
    In the following spaces provided, please tell us:
    What you Most Like about doing business with us:
    What you Least Like about doing business with us:
    Briefly, what is the Most Important Improvement you would like us to make?

    Your Contact Information:

    Full Name*



    Address* (Please provide a street address no P.O. Box)

    Please check here if you would like a call from us: YesNo


    Thank you very much for taking the time to tell us about our agency.
    Please be assured that we take your critique and suggestions very seriously.
    As we stated at the outset, YOU ARE OUR MOST IMPORTANT BUSINESS.

    Trusted Insurance

    "Savings & Service Has Been Our Policy Since 1950"
    14821 South Dixie Highway, Miami, Florida 33176
    P 305.238.1000 | F 305.255.9643

    Independent agent