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Haber Blain Insurance Brokers web survey
Name*
Address*
City*
Postal Code*
Home Phone
Business Phone
E-mail*
*required fields  

Please rate the following on a scale from one to five. Five being the highest possible score, and one being the lowest.

1. Did you find our website www.haberinsurance.com to be easily accessible on-line?
1 2 3 4 5

2. How do you like the NEW look of our website?
1 2 3 4 5

3. How would you rate the service of your Personal Account Manager?
1 2 3 4 5

4.How would you rate the overall service at Haber Blain Insurance Brokers Ltd.?
1 2 3 4 5

5. What area(s) of insurance are you inquiring about?
Auto  Home  Commercial
Recreational  Mortgage

6. How would you prefer we contact you in the future?
 Home Phone Business Phone E-mail

 

 

 

 
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