Claim Service Survey

Your satisfaction with the Claim Service provided to you is most important. Please take a moment and let us know how we served you on your claim.

Type of Claim

Date of Claim

Was your call handled courteously?

Our Office Yes No

Insurance Company Yes No

Did you receive a claim card from our office? Yes No

Did you hear from the adjuster within 72 hours? Yes No

If not, how long until you were contacted?

Did the adjuster clearly explain what needed to be done to settle the loss? (Estimates, handling medical bills) Yes No

Any problems obtaining estimates? Yes No

If so, what problems did you have and with whom?

Did someone from our office follow up with you within a reasonable time-frame? Yes No

Was payment made to you or the appropriate party in a timely manner? Yes No

If not, please explain.

Your input is very valuable to us. Could we have done anything to serve you better?

Thank you for taking time to let us know how we did and how we can better serve your needs.

Your name (optional)

We are licensed in the following States:
Kansas, Colorado, Oklahoma, Texas and New Mexico.