Client Survey

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We're always interested in what you have to say:

Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

How was your overall experience with ACS? *

Excellent Good Fair Poor

How would you rate the professionalism of your Public Adjuster *

Excellent Good Fair Poor

Settlement Amount *

Excellent Good Fair Poor

Timeliness of Services *

Excellent Good Fair Poor

Would you hire ACS again? *

Yes No

Would you refer ACS? *

Yes No

Comment *

May we share your comments? *

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Phone: 855-ACS-2-WIN Fax: 888-512-7152

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