Customer Feedback Survey

We would like to thank you for choosing Vargas & Vargas Insurance Agency Inc.!

We realize that as a consumer you have many choices when it comes to insurance agencies. Please know we appreciate your business and look forward to assisting you with all of your insurance needs.

Your complete satisfaction in our customer service is our goal.

Please take a few moments to complete this "Customer Feedback Survey" to assist us in better serving you.

Again, thank you for choosing Vargas & Vargas Insurance Agency.


Name*:
Home Address:
Home Phone: Cell Phone
Email*:

Have you ever heard or seen a Vargas & Vargas Insurance Agency Inc. advertisement?
  Yes No
Please indicate how you came in contact with our Agency:

How satisfied were you with each of the following?
Our representative's understanding of your needs
1: Very Satisfied
2: Somewhat Satisfied
3: No Opinion
4: Somewhat Dissatisfied
5: Very Dissatisfied


The professionalism displayed by our representative

The way the receptionist handled your phone call

Your overall experience at Vargas & Vargas Insurance


Would you consider using Vargas & Vargas Insurance Agency again for your other insurance needs ?
Yes
No

Would you recommend Vargas & Vargas Insurance Agency Inc. to a friend or family member?
Yes
No
What was most helpful about your meeting with our representative?
Please write any additional comments or observations here:
Please call me, as i have some questions and/or concerns:
I am interested in
mortgage or life insurance automobile - My current policy ends
flood insurance and the flood insurance handout provided. homeowners insurance - My current policy ends
income tax preparation information attending a home-buying seminar
college planning information follow up about

We hope that you were very satisfied with your experience at our agency.

Your referral is the best compliment we can receive!


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