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    Name:
    Email:
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    Agent or Staff Name who assisted you:

    1. Quickly identify and solve your question:

    2. Appear knowledgeable and competent:

    3. Handle your issues with courtesy and professionalism:

    4. Inform you of all our products available:

    5. Quote all your insurance needs for maximum discounts:

    6. Provide complete, accurate information to you:

    7. Explain Coverage's and options clearly:

    8. Explain that MIKE POWELL INSURANCE® is an independent agency, with several insurance companies to choose from:

    9. Your Overall customer service:

    10. Would you refer a prospective customer to us?

    Please provide us with any improvements and or recommendations:

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