Name:	Mr Mrs Ms **
Company:
Address:
Phone No.:		Cell No.:
Email:	**
Type of Insurance:	(Choose One) Property Insurance Marine Insurance Motor Bonds Miscellaneous
The concerned Branch contacted:	(Choose One) Ruby Center, Karachi Clifton, Karachi Uni Plaza, Karachi Hyderabad Quetta Bank Square, Lahore Faisalabad Multan Bahawalpur Sahiwal Islamabad Rawalpindi Peshawar Cantt Peshawar
The concerned Department contacted:	(Choose One) HR Department Accounts Department Claim Department I.T. Department Underwriting Department(Accident/Marine/Motor/Fire/Misc.)
Name of person contacted (if any):

The service provided by the company representative met your expections:

Excellent

Good

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Satisfactory

Unsatisfactory

Courtesy and Attitude:

Excellent

Good

Average

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Were you satisfied with the service you received? Yes No

If you had to make a claim, how did you find our services:

Excellent

Good

Average

Satisfactory

Unsatisfactory

Briefly describe the nature of your claim (if any):

How will you rate the overall service provided:

Excellent

Good

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Kindly provide us your ideas or suggestions which may help us respond better and improve the quality of our response:

Comment box:

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Will you recommend Alpha Insurance to your friends for their insurance needs? Yes No

May we contact you for further information? Yes No

Thank you for giving your valuable time in filling this form. You are a valued customer and we hope to keep serving your insurance needs now and in the future.