Going with a different quote?
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Which types of coverage are you purchasing?
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Auto Only
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Both Auto & Home
Auto, Home, & Additional coverage
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If purchasing Auto:
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6 Month policy
12 Month policy
What date will you be starting your new coverage?
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Which insurance company are you purchasing your coverage with?
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What could we have done differently to earn your business? Please select one of the options below.*
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Lower Prices
Better Coverage Options
More online & digital resources
Better customer service and sales support
Other
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What is the cost of your new policy(s)? Per month/per year?
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If we can get you to a lower price today, would you still be interested in saving more money?
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What coverage did you receive that we did not offer you?
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If we could offer you the same coverage options today, would you be interested in an updated quote?
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What additional online or digital resources are you wanting?
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If we can offer the same types of resources would you still be interested in our quotes?
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We strive to have an excellent customer service and purchase experience. If you did not, please advise any issues you experienced.
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Would you like the agency owner or office manager to contact you directly to discuss or resolve any issues?
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