Agency Report Card

Thank you for taking the time to complete this brief report card. We want to meet or exceed your expectations. Sometimes we simply need to ask if we are succeeding.

Name of Policyholder *

Email address *

1 - Our featured carrier is the Erie Insurance Group. Overall, how satisfied are you with the value of your Erie Policy? *

Very SatisfiedSatisfiedNeutral / UnsureMy Policies are with another carrier thru Werle & Rushes AgencySomewhat DissatisfiedCompletely Dissatisfied

2 - Our agency hours are 9:00-5:00 om MON, WED, THU, FRI; 9:00 am-6:00 pm TUE; appointments on SAT. Does this meet your needs?

Very SatisfiedSatisfiedNeutral / UnsureSomewhat DissatisfiedCompletely Dissatisfied

3a - LONG-TERM POLICYHOLDERS ONLY If you experienced a claim within the past 5 years, with any carrier represented by our agency, were you satisfied with your claim settlement experience?

Very SatisfiedSatisfiedNeutral / UnsureSomewhat DissatisfiedCompletely Dissatisfied

3b - NEW POLICYHOLDERS ONLY. Thank you for recently entrusting your insurance needs with our agency. We want to know if you were satisfied with your policy purchase experience. Did we explain the policy coverages? Did we present you with options?

Very SatisfiedSatisfiedNeutral / UnsureSomewhat DissatisfiedCompletely Dissatisfied

4 - Insurance premiums can be paid in person, via personal check by mail, individual electronics funds transfer via the internet, and (some carriers) by credit or debit cards. Do these options meet your needs?

Very SatisfiedSatisfiedNeutral / UnsureSomewhat DissatisfiedCompletely Dissatisfied

5 - Please rate your overall satisfaction with our agency

Very Satisfied, would recommend to othersSatisfied Overall, but not to the level of recommendationNeutral / UnsureSomewhat DissatisfiedCompletely Dissatisfied

Please add your personal comments

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