Click here to email your survey Claims Experience Questionnaire Hausmann-Johnson constantly strives to provide you with an industry-leading customer service experience and we truly value your input on your claims experience. Name / Business: __________________________________________ Claim description: __________________________________________ Hausmann-Johnson Insurance educated me on the claims process (select one) Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Hausmann-Johnson Insurance responded to my claim in a timely manner (select one) Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Add insurance company handled my claim promptly and with competence (select one) __________________________ Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Overall, the claims services were provided to my level of expectation (select one) Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Comments: Would you recommend Hausmann-Johnson Insurance? (select one) Yes No If you value our claims service and feel you know someone else who could also benefit from our expertise, please provide us with their contact information in the spaces below. Name: ____________________________ Email: ____________________________ Phone number: _____________________ Thank you for your participation and we look forward to serving you in the future. Hausmann-Johnson Insurance, Inc., 700 Regent Street, P.O. Box 259408, Madison Wisconsin 53725-9408 Voice: 608-257-3795 1-800-729-4287 Fax: 608-257-4324 www.hausmann-johnson.com