Clone of Customer Satisfaction Survey (Q4EB)

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Hello from your L&T Agency!

Whether you're a new or longtime customer, we sincerely appreciate your trust in us to protect what matters most to you. Thank you for taking the time to complete our survey. Your valuable feedback helps us enhance your experience and recognize our team members who go above and beyond!
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Name* This field is required.
First Name
Last Name
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What kind of communication style do you respond to best?Please choose 1 option for 1st Preference and 1 option for 2nd Preference.
1st Preference
2nd Preference
Warm, friendly, and conversational
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Clear, structured, and informative
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Row 1, Column 1
Bold, energetic, and action-oriented
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Row 2, Column 1
Thoughtful, strategic, and idea-driven
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Row 3, Column 1
Warm, friendly, and conversational
Clear, structured, and informative
Bold, energetic, and action-oriented
Thoughtful, strategic, and idea-driven
1st Preference
Row 0, Column 0
2nd Preference
Row 0, Column 1
1st Preference
Row 1, Column 0
2nd Preference
Row 1, Column 1
1st Preference
Row 2, Column 0
2nd Preference
Row 2, Column 1
1st Preference
Row 3, Column 0
2nd Preference
Row 3, Column 1
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What's your preferred method for routine communications? * This field is required.Please select 1st OR 2nd preference for Phone, Email, Text, and In-Person.
1st Preference
2nd Preference
Phone calls
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Row 0, Column 1
Email
Row 1, Column 0
Row 1, Column 1
Text messages
Row 2, Column 0
Row 2, Column 1
Video conference or in-person
Row 3, Column 0
Row 3, Column 1
Phone calls
Email
Text messages
Video conference or in-person
1st Preference
Row 0, Column 0
2nd Preference
Row 0, Column 1
1st Preference
Row 1, Column 0
2nd Preference
Row 1, Column 1
1st Preference
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2nd Preference
Row 2, Column 1
1st Preference
Row 3, Column 0
2nd Preference
Row 3, Column 1
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How well do we currently match your service preferences? * This field is required.
Perfectly - you understand exactly how I like to work
Very well - minor adjustments would help
Somewhat - there's room for improvement
Not very well - significant changes needed
Poorly - we seem to be on different wavelengths
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How well do we currently match your communication preferences? * This field is required.
Perfectly - you understand exactly how I like to work
Very well - minor adjustments would help
Somewhat - there's room for improvement
Not very well - significant changes needed
Poorly - we seem to be on different wavelengths
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Overall, how satisfied are you with our insurance services? (1=Very unsatisfied, 5=Very satisfied) * This field is required.
1
2
3
4
5
Very Unsatisfied
Very Satisfied
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We're so glad to hear you've had a great experience with our team! 😊

Know someone we may be able to help?

We'd be grateful for the opportunity to help your friends and family, too. As a thank-you, you'll receive $20 when someone you refer completes an insurance quote with us. No purchase is required.

👉 Click HERE to Refer a Friend or Family Member

If you click the link above, a new tab will open. Please return to this tab and answer the last 2 questions to complete the survey!
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If you've had a recent positive and/or negative experience with our agency, we would love to hear about it to improve your experiences going forward. (We encourage you to highlight the specific team member.)
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Large
Normal
Small
Ok
Ok
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Do you own any additional items listed below? (Select under the State in which you own the item)* This field is required.Select under the State in which you own the item, otherwise please select NONE under your Home State. Please only notate Additional House or Condo if you have more than 1 owned property.
Illinois
Wisconsin
Indiana
Additional House or Condo
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Row 0, Column 2
Rental Property
Row 1, Column 0
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Row 1, Column 2
Motorcycle
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Row 2, Column 2
ATV/UTV
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Snowmobile
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Boat
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Golf Cart
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
NONE
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Row 7, Column 1
Row 7, Column 2
Additional House or Condo
Rental Property
Motorcycle
ATV/UTV
Snowmobile
Boat
Golf Cart
NONE
Illinois
Row 0, Column 0
Wisconsin
Row 0, Column 1
Indiana
Row 0, Column 2
Illinois
Row 1, Column 0
Wisconsin
Row 1, Column 1
Indiana
Row 1, Column 2
Illinois
Row 2, Column 0
Wisconsin
Row 2, Column 1
Indiana
Row 2, Column 2
Illinois
Row 3, Column 0
Wisconsin
Row 3, Column 1
Indiana
Row 3, Column 2
Illinois
Row 4, Column 0
Wisconsin
Row 4, Column 1
Indiana
Row 4, Column 2
Illinois
Row 5, Column 0
Wisconsin
Row 5, Column 1
Indiana
Row 5, Column 2
Illinois
Row 6, Column 0
Wisconsin
Row 6, Column 1
Indiana
Row 6, Column 2
Illinois
Row 7, Column 0
Wisconsin
Row 7, Column 1
Indiana
Row 7, Column 2
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If you would like us to reach out to schedule a review, please provide your contact information below.You can also call or text us at 847-362-0099. Skip if you do not want a review.
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On a scale of 1-5 (1=very unlikely, 5=very likely), how likely are you to recommend us to friends or family?* This field is required.
1
2
3
4
5
Very Unlikely
Very Likely
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Thanks for your feedback!

Your responses help us continue improving your experience and finding new ways to be a resource to you.

Refer a Friend or Family Member
Earn a $20 thank-you when someone you send our way completes an insurance quote. No purchase required.
👉 Click HERE

Share Your Experience
Had a great experience with our team? We'd appreciate your Google review!
👉 Click HERE

L&T Community Newsletter
Insurance education, helpful reminders, local events, household savings and more.
👉 Read the Latest Edition

If you click the links above, a new tab will open. Please return to this tab and click SUBMIT below to complete the survey!
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