Yours is our most important business! Please take a few minutes to tell us how
to make our service to you even better!

Please check one box for each

PLEASE CHOOSE THE BEST ANSWER
Convenient office hours: Excellent      Fair      Poor
Convenient office location: Excellent      Fair      Poor
Polite telephone response: Excellent      Fair      Poor
Prompt phone call return: Excellent      Fair      Poor
Insurance coverage selection: Excellent      Fair      Poor
Prompt policy delivery: Excellent      Fair      Poor
Competitive price structure: Excellent      Fair      Poor
Easy-to-read correspondence: Excellent      Fair      Poor
Easy-to-read policies: Excellent      Fair      Poor
Easy-to-read invoices: Excellent      Fair      Poor
Professional sales people: Excellent      Fair      Poor
Responsive customer service: Excellent      Fair      Poor
Prompt inquiry response: Excellent      Fair      Poor
Timely renewal notices: Excellent      Fair      Poor
Prompt insurance reminders: Excellent      Fair      Poor
Frequent enough contact: Excellent      Fair      Poor
Prompt claim response: Excellent      Fair      Poor
Professional claim handling: Excellent      Fair      Poor
Fast, fair claim settlement: Excellent      Fair      Poor
Timely written confirmations: Excellent      Fair      Poor

PLEASE CHOOSE YES OR NO
Should additional services be made available? Yes No
Should additional products be made available? Yes No
Should our service structure be changed? Yes No
Should our service days or hours be extended? Yes No
Would you prefer more frequent contact or coverage reviews? Yes No

PLEASE TELL US YOUR OPINION
What you Most Like about doing business with us:
What you Least Like about doing business with us:
Briefly, what is the Most Important Improvement you would like us to make?

PERSONAL INFORMATION
Name:
Address:
City:
State:
Zip:
Please check here if you would like a call from us:
Phone Number:

Thank you very much for taking the time to tell us about our agency.
Please be assured that we take your critique and suggestions very seriously.
As we stated at the outset, YOU ARE OUR MOST IMPORTANT BUSINESS.
Quotation Forms


The Agency's Principals
About Our Staff | Products and Services | Links |
Contact Us | Home

Securities and advisory services offered through Wall Street Financial Group, Inc., Registered Investment Advisor, Member FINRA/SIPC Wall Street Financial Group, Inc. may only transact business in those states and international jurisdictions where we are registered/filed notice or otherwise excluded or exempted from registration requirements. Any communications with prospective clients residing in international jurisdictions where Wall Street Financial Group, Inc., and its registered representatives are not registered or licensed shall be limited so as not to trigger registration or licensing requirements. Insurance services from D. Robert Anderson may not be provided to individuals residing in any states other than NY. Insurance services from Spencer Corzine may not be provided to individuals residing in any states other than NY and VA. Insurance products are not offered through Wall Street Financial Group, Inc. Securities services from D. Robert Anderson may not be provided to individuals residing in any states other than CA, FL, GA, MD, NY, NC, OK, and VA. Securities services from Spencer Corzine may not be provided to individuals residing in any states other than CA, FL, GA, MD, NY, NC, OK, PA, SC, and VA. Advisory services from D. Robert Anderson may not be provided to individuals residing in any states other than CA, MD, NY, NJ, and FL. Advisory services from Spencer Corzine may not be provided to individuals residing in any states other than CA, MD, NJ, NY and FL. Wall Street Financial Group did not assist in the preparation of this material, and its accuracy and completeness are not guaranteed. The opinions expressed are those of the author(s) and are not necessarily those of Wall Street Financial Group, Inc. The material has been prepared or is distributed solely for informational purposes and is not a solicitation or an offer to buy any security or instrument or to participate in any trading strategy. Wall Street Financial Group, Inc. is not responsible for information contained on websites listed herein. Wall Street Financial Group, Inc., Anderson-Van Horne Associates, Inc., and companies with websites listed herein are all separate entities, independently owned and operated.

Copyright 2003 © The Mines Press