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CUSTOMER EXPERIENCE SURVEY
Dear Customer
The Ombudsman for short-term insurance thanks you for giving us the opportunity
to assist you. Please help us serve you better by taking a couple of minutes to tell us
about the service that you have received.
On a scale from 1-5, with 1 being poor and 5 being superior;
Please rate the level of professionalism of our staff.
1. Poor 2. Low 3. Average 4. High 5. Superior
Please rate how the complaints process was explained to you.
1. Poor 2. Low 3. Average 4. High 5. Superior
How easy was it to make contact with this office?
1. Poor 2. Low 3. Average 4. High 5. Superior
From the experience you had when submitting your complaint to OSTI, how could the process be improved?
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Please add any comments below.
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
How did you hear about this Office?
a. Word-of-mouthb. Newspaperc. Radiod. Televisione. Internet/social mediaf. Other Ombudsman g. Your insurerh. Your policy document i. Broker/Attorney/bank
Thank you for your feedback. We sincerely appreciate your honest opinion and will
take your input into consideration.
THE OMBUDSMAN FOR SHORT-TERM INSURANCE
Name: _____________________
File reference number: _____________________