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Customer Survey

Please take a few moments to complete this exit survey.

1. What is the reason(s) for canceling your insurance policy with Seibert Insurance Agency?

Price
Product Features
Customer Service
Moved
Other
Unknown

2. Did you purchase insurance from another company?

Yes
No
Unknown

3. If so, what company or agency did you purchase insurance from?

4. How did you hear about the new company mentioned in the previous question?

Advertisment
Sales Representative
Colleague/friend
Other

5. Is there anything specifically that Seibert Insurance Agency could have done differently to keep your business?