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Questions marked with a * are required Exit Survey
 
 
* Who initiated communication regarding your invoice(s) this month?
 
Office
 
You
 
 
On a scale of one to ten, please rate your satisfaction with regards to your monthly invoicing:
110
* Communication
-
* Attention to Detail
-
* Accuracy
-
* Timeliness
-
 
 
On a scale of one to ten, please rate your satisfaction with regards to collections:
110
* Courtesy
-
* Sensitivity
-
* Timeliness
-
* Awareness of Facts
-
* Overall
-
 
 
Regarding the collection process, how satisfied are you with the following:
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
* Accessibility
* Attentiveness
* Awareness
* Overall
 
 
Regarding your experience with our insurance representative, how satisfied are you with the following:
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
* Accessibility
* Understanding of Your Personal Needs/Goals
* Responsiveness
* Clarity
* Approach
* Follow-up
* Confidence
* Overall
 
 
 
Please note any comments/suggestions on any aspects of our service: