Thursday, February 09, 2012
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Mark Wenclewicz
Scott Wenclewicz
Christina Kum
Ashe Abebe
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Are you interested in having your monthly insurance payment automatically withdrawn from your checking account?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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