Agency Name:    Contact:

Department:Select OneSGA GeneralPersonal LinesCommercial P&CCommercial GarageCommercial Transportation

Response time to quote request:Select OneAcceptableNeeds Improvement* Additional Comments   

* Additional Comments:

NEW business pricing:Select OneCompetitiveNot Competitive    RENEWAL business Pricing:Select OneCompetitiveNot Competitive   

Response time By Underwriters:Select OneGoodNeeds Improvement** Additional Comments

** Additional Comments:

Quoting Process Preference:Select OneSGA Web Site Quick QuoteFax Quote SheetEmail Quote RequestPhone QuotingSuggestions    Suggestions:

Preferred method of contacting an Underwriter:Select OnePhoneEmailFaxComments    Comments:

Additional Markets Needed:

Familiar with SGA Markets:Select OneYesNoI would like to know all SGA Markets

SGA Web Site Enhancements:

SGA Phone System:Select OneAcceptableNeeds Improvements

Suggested Improvements:

Additional Comments: