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* First Name : 
* Last Name : 
* Email Address : 
 
 
 
Please select the BLUETEC INS Team member that assisted you today?
 
 
 
What type of Insurance protection(s)do you currently have through BLUETEC INS GROUP (Select all that apply)?
 
Auto Insurance
 
Life Insurance
 
Home Insurance
 
Commercial Insurance
 
Umbrella Insurance
 
Other
 

 
 
How did our team member that assisted your needs measure regarding the following attributes?
Disappointing Below Average Above Average Excellent
Professionalism
Clear and Effective Communicator
Additional Protection Products appropriately Offered
Overall Delivery on Service / Purchase Experience
Knowledge & Understanding your Needs
 
 
 
Based on your recent experience, how likely will you allow us to continue servicing your and your insurance needs?
 
Very Likely
 
Somewhat Likely
 
Somewhat Unlikely
 
Very Unlikely
 
 
 
Based on your recent experience would you recommended BLUETEC INS GROUP to your friends and family?
 
Yes, I will be recommending BLUETEC INS to my Friends & Family
 
No, I will not be recommending BLUTEC INS to my Friends & Family
 
 
 
Do you "Care to Share" any Praise, Comments or Suggestons for Improvement?
   
 
 
 
What other types of Protection/Policies would you like to explore further with BLUETEC INS GROUP. (Select all that apply)?
 
Home Insurance
 
Commercial / Business Insurance
 
Umbrella Insurance
 
Life Insurance
 
Jewelry Insurance
 
Other
 

 
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