Claim Satisfaction Survey

Your Name (required)

Email (required)

Telephone Number:

Date of Loss

Type of Claim

At Champion Realty Insurance we are constantly seeking ways to better serve our clients. Our agency does not directly control the claims process between you and the insurance company; however, we do try to ensure the claims process goes as smooth as possible. In order to continue to improve our service to you, we would like to get your input. Tell us how your claim was handled and what we could have done, if anything, to make it a better experience for you.

  1. I received helpful information about the claims process from the agency?
  2.  Strongly Agree Somewhat Agree Neutral Somewhat Disagree Strongly Disagree

  3. Working with the agency made my claims process easier?
  4.  Strongly Agree Somewhat Agree Neutral Somewhat Disagree Strongly Disagree

  5. I was kept informed during the claims process?
  6.  Strongly Agree Somewhat Agree Neutral Somewhat Disagree Strongly Disagree

  7. My claim was resolved in a timely manner?
  8.  Strongly Agree Somewhat Agree Neutral Somewhat Disagree Strongly Disagree

  9. Overall, I am satisfied with the handling of the claim by the agency?
  10.  Strongly Agree Somewhat Agree Neutral Somewhat Disagree Strongly Disagree

  11. Overall, I am satisfied with the handling of my claim by the insurance company?
  12.  Strongly Agree Somewhat Agree Neutral Somewhat Disagree Strongly Disagree

  13. How can we improve to better serve you? Please enter your comments or suggestions in the box below.
  14. May we use your positive comments in a testimonial on our website?
  15.  Yes No

Disclaimer: All responses will be held in the strictest confidence and will only be used to improve our products and services, unless you indicate otherwise.