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Enter your coverage ID
(This is a 9-digit number located below the survey URL on the bottom of the form you received).
Which form or letter did you receive?
(Required.)
Change your account information
Reduce coverage amount
Request a beneficiary designation or change
Request a cancellation of coverage
Request a change to your coverage amount
Request a copy of your enrollment form
Please indicate the extent to which you agree or disagree with the following statements.
(Required.)
Strongly disagree
Disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Agree
Strongly agree
The process of handling my request was easy for me
Strongly disagree
Disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Agree
Strongly agree
Handling my request took less time than I expected
Strongly disagree
Disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Agree
Strongly agree
Overall, how satisfied are you with your experience so far?
1 - Not at all satisfied
2
3
4
5
6
7
8
9
10 - Very satisfied
1 - Not at all satisfied
2
3
4
5
6
7
8
9
10 - Very satisfied
How likely are you to recommend us to a friend or colleague?
0 - Not at all likely
1
2
3
4
5
6
7
8
9
10 - Very likely
0 - Not at all likely
1
2
3
4
5
6
7
8
9
10 - Very likely
We welcome your feedback.
Enter your phone number.
In order to better serve you, it is important to us that we continually receive your feedback on what you think of our services & products. Would you be willing to be a special member of our in-house research panel? Being a part of our research panel would mean that you would provide feedback regarding various topics once every three months.
Yes
No
Enter your first and last name if you are interested
Which topics are of interest to you?
New product development
Technology
Customer experience
Operations
Communication / Advertising
Other (please specify)
