Chalmers Insurance Group Survey

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Your Name (First and Last) *

Your local office *

Name of Chalmers employee *

What insurance or other services do you receive from Chalmers? Please check all that apply.

Personal Insurance - Homeowners, Personal Auto, Watercraft, Motorcycle, Snowmobiles, or Other
Business Insurance - Business Property, Business Auto, Workers Comp, or Other
Chalmers Advantage Employee Benefits
Chalmers Camp Insurance
Other (please specify below)

If other please specify

What was the reason for your most recent experience in dealing with Chalmers, within the past year?

New Client - Personal Insurance - Homeowners, Personal Auto, Watercraft, Motorcycle, Snowmobiles, or Other
New Client - Business Insurance - Business Property, Business Auto, Workers Comp, or Other
New Client - Group Employee Benefits
New Client - Financial Services - Life, Retirement, Disability, or Long Term Care
Existing Client (inquiry/policy change/bill, etc.)
Claim Handling
Requested Quote
I did not have a reason to deal with Chalmers in the past year
Other (please specify below)

If other please specify

Please take the time to rate your most recent client service experience with Chalmers in the following areas:
(5 is excellent, 1 is unsatisfactory)

a. Treated you like a valued client

b. Was available to answer your questions

c. Clearly communicated the answers to your questions

d. Was responsive to your needs throughout the entire process

e. Was professional and knowledgeable in the areas where you had questions

f. Was helpful in guiding you through the insurance process

g. Up-to-date technology

h. Convenience/ease of paying bills

Please rate your first impression of Chalmers, either in office or by phone:
(5 is excellent, 1 is unsatisfactory)

a. Greeted promptly and courteously

b. Transferred or directed to the appropriate representative

c. Wait time

Overall, how satisfied are you with the service you've received from your Chalmers representative?

Was there anything exceptional about your experience with your Chalmers representative that you believe merits special recognition? Please describe.

In your experience, are there any areas that we could improve on?

How likely are you to recommend Chalmers to family/friends/business colleagues?

I appreciate your business and would love to serve your friends as well - Refer a friend and I will send you a $5.00 coffee gift card as a thank you!

Based on your experience, how likely are you to continue using Chalmers as your primary insurance agency?

How did you first learn about Chalmers Insurance Group?

An advertisement
From a friend or family member
Online search
Local community presence
Other (please specify below)

If other please specify

Would you like a Chalmers representative to call you to address your concerns?

Please enter your name and number if you would like to be contacted

Why did you choose Chalmers Insurance Group for your insurance needs?

Please tell us a little about yourself.

What is your gender?

Man
Woman
Other

What is your age?

What is your current marital status?

What is the highest level of education you have completed?

Less than High School
High School / GED or the equivalent
Some college
2-year College Degree
4-year College Degree
Masters or Doctoral Degree
Professional Degree (JD, MD)

Enter into drawing!

Thank you for taking time to complete the survey, giving us the opportunity to better serve you! We appreciate your business and would like to enter you into our drawing. Please provide your name and email to enter!