TEMPLATE SURVEY QUESTIONS - DOC by gigi12

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									                        TEMPLATE SURVEY QUESTIONS
                            FOCUSED ON AGENCY
                        SERVICE AND COMMUNICATION


We’d like to know whether the CDE Agency (CDE) is doing a good job for you. Please
take just a few minutes to complete and return this questionnaire, so you can help us
continue to improve.

1. How would you rate your relationship overall with CDE currently?
   o Excellent
   o Pretty good
   o Neither good nor bad
   o Somewhat negative
   o Bad
   If you would like to comment on your answer, please enter text here: (open field with
   limited character length)

2. In the past year, would you say your relationship overall with CDE has changed?
   o Yes, improved a great deal.
   o Yes, improved somewhat.
   o Has not changed.
   o Yes, is somewhat worse.
   o Yes, is a great deal worse.
   If you would like to comment on your answer, please enter text here: (open field with
   limited character length)

3. How would you say the Agency is doing in the following areas? (Select the closest
   response to your opinion.)

   Field underwriting support:
       o      Good
       o      Neutral
       o    Poorly
   Advanced Sales support:
       o      Good
       o      Neutral
       o      Poorly
   Cross-selling training and support:
       o      Good
       o      Neutral
       o      Poorly
   Access to products to meet customers’ needs:
       o      Good
       o      Neutral
       o     Poorly
   Timely pay on commissions:
       o      Good
       o      Neutral
       o     Poorly
   Customer service to you:
       o      Good
       o      Neutral
       o      Poorly
   Availability of supplies and office support:
       o      Good
       o      Neutral
       o      Poorly

Do you have comments about these areas you’d like to share? (Open field with large
capacity.)

4. How would you say CDE is doing in communications in the following areas? (Select
   the closest response to your opinion.)

   Communication regarding changes to the law:
       o      Good
       o      Neutral
       o   Poorly
   Communications about products and state approvals:
       o      Good
       o      Neutral
       o   Poorly
   Communications about new products rollouts and features:
       o      Good
       o      Neutral
       o   Poorly
   Communications about ethical and market conduct expectations:
       o      Good
       o      Neutral
       o      Poorly

Do you have comments about these areas you’d like to share? (Open field with large
capacity.)

May we contact you regarding your comments, if desired? If yes, please fill out this
contact information:
Name
Preferred contact time/day
Preferred phone number / email

Thank you for your time, and for your association with CDE Agency.

								
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