Claims Survey Step 1 of 14 7% Policyholder Name* Date of Loss Claim Number Policy Number Were you initially contacted in timely manner?*Very SatisfiedFairly SatisfiedFairly DissatisfiedVery Dissatisfied Were you treated with consideration and courtesy?*Very SatisfiedFairly SatisfiedFairly DissatisfiedVery Dissatisfied Did the adjuster explain the claim procedure?*Very SatisfiedFairly SatisfiedFairly DissatisfiedVery Dissatisfied Did the adjuster communicate well with you?*Very SatisfiedFairly SatisfiedFairly DissatisfiedVery Dissatisfied Were your concerns met to your satisfaction?*Very SatisfiedFairly SatisfiedFairly DissatisfiedVery Dissatisfied Was the explanation of your claim benefits or the breakdown of any payment received to your satisfaction?*YesNo Did the coverage match your expectations outlined to you by your representative when your policy was written?*YesNo Do you feel your claim was resolved promptly and to your satisfaction?*YesNo Overall, how would you rate your claims experience?*ExcellentSatisfactoryUnsatisfactory Comments
