EmailMeForm
Welcome to our agency!
At ETA Benefits Group we are always striving to improve our service and exceed client expectations. We would appreciate it if you would take a few minutes to complete this important survey. The results will help us evaluate our services and identify opportunities to better serve you. Thank you for your business!
Name
*
Email
*
How did you hear about us?
Who is your agent?
What type of insurance do you have with our agency?
Rating 1=lowest 5 =highest
The agent made me feel comfortable.
Worst
1
2
3
4
5
Best
The agency staff is responsive and professional.
Worst
1
2
3
4
5
Best
I receive clear and understandable information.
Worst
1
2
3
4
5
Best
How likely are you to recommend our agency to others?
Worst
1
2
3
4
5
Best
Overall how satisfied are you with our service?
Worst
1
2
3
4
5
Best
Would you be willing to provide a testimonial for our website?
Yes
No
How can we improve to better serve you?
Submit your completed survey and be entered into a monthly drawing to win a $25 gift card to a local restaurant!