Thursday, February 09, 2012  
 
Wenclewicz Insurance Wants Your Help!
Please take a moment to complete the following client survey:
Your name:  
What is the best way to contact you?   By phone: 
  By email:   
Have you ever been to www.wenc-insurance before today?   No  
  Yes  
If yes, for what purpose?  
Have you ever utilized the Wenclewicz Insurance Web site to:   Pay a bill  
  Report a claim  
Are you interested in having your monthly insurance payment automatically withdrawn from your checking account?   Yes  
  No
  Already set up
Have you filed a claim in the last 12 months?   No  
    Yes
1 2 3 4 5
If yes, how would you rate my service?   (1=Poor, 5=Very good)
Are you interested in a quote for any of the following products?      (Check all that apply)
  Auto Renters
  Life Business
  Home Boat/RV/Motorcycle
How satisfied are you with your current insurance experience?    
1 2 3 4 5
  (1=Poor, 5=Very good)
Comments/Suggestions:  
 
 
 
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