AGENT SURVEY

Your opinion of the service that we provide is of the utmost importance to us. In order to continually improve, we need your feed back. Thank you for giving us your thoughts.

 
  • 1 - Poor/Unacceptable
  • 2 - Mediocre
  • 3 - Average (about the same as other brokers)
  • 4 - Above Average
  • 5 - Excellent

Relative to our staff, please rate your experience using the numbers from the scale above:
Accessibility
Accuracy
Response Time
Professionalism
Knowledge of Subject Matter
Friendliness
Willingness to Help
Personal Attention
Ability to Resolve

Which lines of business do you write with FSA?

Life
Annuity
LTC
Group Benefits
Disability Income





Why have you chosen to give us your business? (THANK YOU!)
 
Do you write any of these lines of business with another broker?
YES NO  

If YES, what makes you choose a resource other than FSA? (indicate lines not written with FSA)

 
Your Name (optional):  
What FSA Staff Members do you work with most frequently?
 
Other Comments: