Current Customer Survey

Thank you for visiting our current customer survey page. Please complete these questions using our radio button scale. Upon completion before submitting your answers, please fill out your information so we may contact you and to be eligible to win our prize. Winners will be posted every 30 days on this site and there is no purchase necessary to win. Thank you.

1. Overall how would you rate the service you receive from Barton Insurance Group?
Poor Average Good Very Good Outstanding
2. How often would you like to receive a newsletter from Barton Insurance Group?
1 month 3 months 6 months 12 months Never
3. On a scale of 1-5, with 1 being a no and 5 an absolutely yes, how likely is it that you would recommend us to someone you know for insurance?
1 No 2 Less likely 3 Maybe 4 Most likely 5 Yes
Would you like us to contact you with regards to any of your answers to the above questions?
YesNo If yes, what # question(s)
2. How often would you like to from us to discuss your insurance needs and changes?
1 month 3 months 6 months 12 months Never
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