Client Survey

Please take a few moments to tell us what we're doing right or wrong - and how we can serve your better. Please be assured that we take your comments and suggestions very seriously.


I. Please identify yourself
	Name*:
	Address*:
	City*:		State*:	Zip*:
	Email*:
	Area Code*:	Phone*:
	Check Here If you Would Like A Call From Us


II. Please indicate your level of satisfaction for each category.
		Excellent	Fair	Poor
	Convenient Office Hours

	Polite Telephone Response

	Prompt Telephone Call Return

	Prompt Policy Delivery

	Competitive Price Structure

	Easy-To-Read Correspondence

	Professional Sales People

	Responsive Customer Service

	Prompt Claim Response

	Professional Claim Handling


III. For the following questions, please check "YES" or "NO". (If "YES" Please Explain)

	1. Should Additional Services Be Made Available?	Yes	No


	2. Should Our Service Days Or Office Hours Be Expanded?	Yes	No


	3. Would You Prefer More Frequent Contact Or Coverage Reviews?	Yes	No


IV. In the spaces provided, please tell us:
	What You Most Like About Doing Business With Us:


	What You Least Like About Doing Business With Us:


	What Is The Most Important Improvement You Would Like Us To Make?

Plainview • New York City • Westhampton • Saratoga

Tel: (516) 938-9000 • Email: cbs@cbsinsurance.com