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Customer Feedback
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Name
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Last Name
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How satisfied were you with the CK Insurance experience over all?
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Satisfied
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Very Dissatisfied
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How would you rate the helpfulness and professionalism of our team?
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1 = Poor 5= Excellent
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Have we been clear and transparent in explaining your coverages and options?
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Very Unclear
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How likely are you to recommend CK Insurance to a friend or family member?
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1=Not Likely 5=Very Likely
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Have we earned the right to be introduced to someone you know?
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Yes!
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If yes, please give us their name and phone number below.
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7
Contact Information
You can type as many contacts as you would like to refer by clicking save after each one! You will receive the reward of your choice below for each referral.
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8
Please select your preferred reward:
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This field is required.
You will receive multiple of this reward choice if you referred multiple contacts!
$10 Starbucks gift card (will be sent via email)
$10 Chipotle gift card (will be sent via email)
$10 Donation to Scatter Joy Project
$10 Donation to St. Christopher Catholic School Donation Fund (through CK Insurance)
$10 Donation to Down Syndrome Association of Central Ohio
$10 Donation to NC4K
$10 Donation to the Mid-Ohio Food Collective
$10 Donation to Huckleberry House
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9
Would you mind telling us your favorite local business or charity? We love connecting with our community!
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