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Quote Request Follow Up


Here at Mendez M Insurance we would like to make certain that all clients’ needs are serviced.  You contacted our office to purchase a policy and during our quality control we were surprised that our office was not able to earn your business.

Please  take a moment to rate the following experience to identify areas of improvement in our office.

On a scale of 1-10, 10 being exceptional


Were you called back the same day
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How would you rate the interaction with the team member who assisted you?
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What company was able to meet your insurance needs?
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Please provide feedback that would assist us in helping future clients.
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Personal Information
First Name
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Last Name
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E-Mail Address
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Submission Validation
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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.