New Survey
1

How long have you been a client of Madison Avenue Insurance and/or Farmers Insurance, Stacey Odem's Agency?

Newly Transfered Client of John McKissick
Newly Transfered Client of Nick Gardner
Existing Client of 1-5 Years
Other, please specify
2

When was the last time you have been contacted direcly by our agency and how would your rate your experience?

3

What products do you currently have with our agency?

Home and/or Auto
Business Insurance
Life or Health Insurance
Umbrella
Bonds
Commercial Auto
4

How would you rate our staffs product knowledge?

PoorFairGoodExcellent
1
2
3
4
5

How would you rate our staff's responsiveness to your needs?

PoorFairGoodExcellent
1
2
3
4
6

Would you feel comfortable referring a friend or business associate to our agency?

PoorFairGoodExcellent
1
2
3
4
7

What would you like to see from our agency in the future?

Email Format Newsletters and Articles
Weekend or Evening Office Hours
An Insurance Blog on our Website
Twitter Account
Option to Email Annual Policy Reviews
In Office Policy Reviews
Open House Events
Networking Events
Charity Walks/Runs
MISC
MISC
8

Thank you for taking the time to answer the questions in this survey.  It helps us to better serve you in the future.  We appreciate your business and your time.  If you would like to provide your contact information below, we will enter your name in a drawing for a $100 gift card. 

Name
Company
Address 1
Address 2
City/Town
State/Province
Zip/Postal Code
Country
Email Address