Customer Feedback Form

We value your feedback and would like to know how well we are meeting your needs.

Please take a few moments to complete the following questions. When complete, click Submit at the bottom and return back to the WQIS site. This survey takes approximately 2 minutes to complete.

What is your relationship with WQIS? :
How long have you worked with/been affiliated with WQIS? :

Communication and Service

What is your preferred method of contacting WQIS? :
How would you rate WQIS response via:
Telephone :
Email :
Fax :
Standard Mail :
How would you rate WQIS's professional manner? :
Is there anyone at WQIS who has provided you with exceptional service? : Yes No


How often do you visit WQIS's website? :
Is the website helpful with finding the materials you need? : Yes No
Please elaborate :
Please go to the section that describes your relationship with WQIS.


Do you have sufficient sales materials about WQIS's coverages? : Yes No
Are your sales materials current? : Yes No
How would you rate the effectivness of WQIS sales material in helping you sell WQIS coverage? :
Please elaborate :


Do you have sufficient materials regarding your WQIS coverage? : Yes No
Is your coverage material clear and self-explanatory? : Yes No
Are you satisfied with the level of coverage WQIS provides? : Yes No
Please elaborate :
Which format do you prefer to receive WQIS update information? :
Additional Comments :


Name :
Phone :