Your relationship to the Kim Hastings Agency:*Current ClientFuture ClientNo Business Relationship at this TimeSurvey QuestionnaireYour honest feedback is important to us!Your Name* First Last Email on File* Who was your appointment with?*How was your appointment conducted?*In person - officeIn person - homeIn person - otherOver the phoneVideo MeetingPolicy or Policies Reviewed* Auto Home Renter Flood Life Insurance Financial Services - College Funding Financial Services - Retirement Planning Financial - Other Business Other Please select the best choice for each statement below. My agency representative was prepared and ready at the scheduled appointment time.Strongly disagreeDisagreeNeutralAgreeStrongly agreeMy agency representative took the time to explain coverage options.Strongly disagreeDisagreeNeutralAgreeStrongly agreeMy agency representative explained things in a way that was easy to understand.Strongly disagreeDisagreeNeutralAgreeStrongly agreeMy agency representative was professional and took a genuine interest in me as a client.Strongly disagreeDisagreeNeutralAgreeStrongly agreeHow likely are you to recommend The Kim Hastings Agency to your friends and family?Not LikelyNeutralLikelyI Always Recommend Your AgencyAgency Rating*1-Terrible | 2-Not So Great | 3-Average | 4-Pretty Good | 5-ExcellentExcellentPretty goodNeutralNot so greatTerribleYour best compliment is the referral of a friend or neighbor! Join our rewards program and Refer a Friend TODAY! Reason for not selecting our agency:*Assuming a presentation was given and you elected not to switch to the Kim Hastings Agency, please indicate the primary reason for this hesitation.TimingRateCoverageCompanyNot comfortable with agencyFollow-up DateIf you wouldn't mind, we would love the opportunity to requote your insurance at a more convenient time...or when rates have changed. FOLLOW-UP Notification Reminder: Date Format: MM slash DD slash YYYY Comments and/or Suggestions:Thank you for allowing us the opportunity to serve you! Please tell us how we can improve our service. If you would like to give our agency representative credit for a job well-done, we would love to recognize exceptional performance!!