Customer Satisfaction Survey.
New Business
Name of the account:
Effective Date:
Were you contacted by us within 48 hours of when you sent your submissions in?
Yes
No
Did you receive your quote on time ?
Yes
No
Why did you bind or not bind your account with us? (Check all that apply.)
Service
Coverage
Price
The Distinguished Program Group
1180 Avenue of the Americas, 16th fl, New York, NY 10036
1-212-297-3100
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