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Submitted URL: https://www.surveymonkey.com/tr/v1/te/akU_2BQc2vAhAsa_2B264x1g6_2FpF_2Fhy3EhxbpxJDHYpYZT3PErDK_2Bf6OjNYOPsqZdKwgE6L2YpK4ifPDe...
Effective URL: https://www.surveymonkey.com/r/?sm=_2BtVZuKfujltcCOZO7oMjqg_3D_3D
Submission: On March 08 via api from US — Scanned from DE
Effective URL: https://www.surveymonkey.com/r/?sm=_2BtVZuKfujltcCOZO7oMjqg_3D_3D
Submission: On March 08 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
Name: surveyForm — POST
<form name="surveyForm" action="" method="post" enctype="multipart/form-data" novalidate="" data-survey-page-form="">
<div class="questions clearfix">
<div class="question-row clearfix
">
<div data-question-type="presentation_descriptive_text" data-rq-question-type="presentation_text" class="question-container
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<div id="question-field-769745943" data-qnumber="1" data-qdispnumber="" data-question-id="769745943" class=" question-presentation-text qn question descriptive_text">
<div class="question-body-font-theme question-presentation-text user-generated">
<span class="user-generated notranslate
">
<strong>On a scale of 1-5 (with 1 being the lowest/least and 5 the highest/most), please rate the following:</strong></span>
</div>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="matrix_rating" data-rq-question-type="emoji" class="question-container
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<div id="question-field-769745929" data-qnumber="2" data-qdispnumber="1" data-question-id="769745929" class=" question-emoji-rating qn question rating question-required">
<h3 class="screenreader-only">Question Title</h3>
<div class=" question-fieldset question-legend">
<h4 id="question-title-769745929" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 1<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> If DocuSign were an integrated feature for PFA signatures on our online quoting system, how likely would you be to use it?</span>
</h4>
<div class="question-body question-body-emoji clearfix notranslate ">
<table class="question-emoji-rating-table question-matrix-table table-reset reflow" cellspacing="0" role="presentation">
<thead>
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<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated"> Least/Low </td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated">
</td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated">
</td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated">
</td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated"> Most/High </td>
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<span id="769745929_5095255584_5095255587-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span> Least/Low </span>
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<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
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aria-checked="false">
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<span id="769745929_5095255584_5095255588-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span>
</span>
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<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="3 stars">
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<input id="769745929_5095255584_5095255589" name="769745929_5095255584" type="radio" class="emoji-button-input" value="5095255589" aria-label="3 stars" aria-describedby="769745929_5095255584_5095255589-label"
aria-checked="false">
</div>
<span id="769745929_5095255584_5095255589-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span>
</span>
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<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="4 stars">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745929_5095255584_5095255590" name="769745929_5095255584" type="radio" class="emoji-button-input" value="5095255590" aria-label="4 stars" aria-describedby="769745929_5095255584_5095255590-label"
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<span id="769745929_5095255584_5095255590-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span>
</span>
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<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="5 stars">
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<input id="769745929_5095255584_5095255591" name="769745929_5095255584" type="radio" class="emoji-button-input" value="5095255591" aria-label="5 stars" aria-describedby="769745929_5095255584_5095255591-label"
aria-checked="false">
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<span id="769745929_5095255584_5095255591-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span> Most/High </span>
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</tbody>
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<div class="question-row clearfix
">
<div data-question-type="matrix_rating" data-rq-question-type="emoji" class="question-container
">
<div id="question-field-769745930" data-qnumber="3" data-qdispnumber="2" data-question-id="769745930" class=" question-emoji-rating qn question rating question-required">
<h3 class="screenreader-only">Question Title</h3>
<div class=" question-fieldset question-legend">
<h4 id="question-title-769745930" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 2<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> If our online system included a digital platform where your clients could choose to either finance or pay their premium in full to AFS/IBEX on your behalf, how likely would you be to use it?</span>
</h4>
<div class="question-body question-body-emoji clearfix notranslate ">
<table class="question-emoji-rating-table question-matrix-table table-reset reflow" cellspacing="0" role="presentation">
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<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated"> Least/Low </td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated">
</td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated">
</td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated">
</td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated"> Most/High </td>
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<tbody>
<tr data-radio-button-group="" class="question-matrix-row-even question-matrix-row-last">
<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="1 star">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745930_5095255503_5095255504" name="769745930_5095255503" type="radio" class="emoji-button-input" value="5095255504" aria-label="1 star" aria-describedby="769745930_5095255503_5095255504-label"
aria-checked="false">
</div>
<span id="769745930_5095255503_5095255504-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span> Least/Low </span>
</div>
</div>
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<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="2 stars">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745930_5095255503_5095255505" name="769745930_5095255503" type="radio" class="emoji-button-input" value="5095255505" aria-label="2 stars" aria-describedby="769745930_5095255503_5095255505-label"
aria-checked="false">
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<span id="769745930_5095255503_5095255505-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span>
</span>
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<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="3 stars">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745930_5095255503_5095255506" name="769745930_5095255503" type="radio" class="emoji-button-input" value="5095255506" aria-label="3 stars" aria-describedby="769745930_5095255503_5095255506-label"
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<span id="769745930_5095255503_5095255506-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span>
</span>
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<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="4 stars">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745930_5095255503_5095255507" name="769745930_5095255503" type="radio" class="emoji-button-input" value="5095255507" aria-label="4 stars" aria-describedby="769745930_5095255503_5095255507-label"
aria-checked="false">
</div>
<span id="769745930_5095255503_5095255507-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span>
</span>
</div>
</div>
</td>
<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="5 stars">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745930_5095255503_5095255508" name="769745930_5095255503" type="radio" class="emoji-button-input" value="5095255508" aria-label="5 stars" aria-describedby="769745930_5095255503_5095255508-label"
aria-checked="false">
</div>
<span id="769745930_5095255503_5095255508-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span> Most/High </span>
</div>
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="matrix_rating" data-rq-question-type="emoji" class="question-container
">
<div id="question-field-769745931" data-qnumber="4" data-qdispnumber="3" data-question-id="769745931" class=" question-emoji-rating qn question rating question-required">
<h3 class="screenreader-only">Question Title</h3>
<div class=" question-fieldset question-legend">
<h4 id="question-title-769745931" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 3<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> How would you rate your experience with our customer service representatives when you contact AFS/IBEX?</span>
</h4>
<div class="question-body question-body-emoji clearfix notranslate ">
<table class="question-emoji-rating-table question-matrix-table table-reset reflow" cellspacing="0" role="presentation">
<thead>
<tr>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated"> Least/Low </td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated">
</td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated">
</td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated">
</td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated"> Most/High </td>
</tr>
</thead>
<tbody>
<tr data-radio-button-group="" class="question-matrix-row-even question-matrix-row-last">
<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="1 star">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745931_5095255513_5095255514" name="769745931_5095255513" type="radio" class="emoji-button-input" value="5095255514" aria-label="1 star" aria-describedby="769745931_5095255513_5095255514-label"
aria-checked="false">
</div>
<span id="769745931_5095255513_5095255514-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span> Least/Low </span>
</div>
</div>
</td>
<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="2 stars">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745931_5095255513_5095255515" name="769745931_5095255513" type="radio" class="emoji-button-input" value="5095255515" aria-label="2 stars" aria-describedby="769745931_5095255513_5095255515-label"
aria-checked="false">
</div>
<span id="769745931_5095255513_5095255515-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span>
</span>
</div>
</div>
</td>
<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="3 stars">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745931_5095255513_5095255516" name="769745931_5095255513" type="radio" class="emoji-button-input" value="5095255516" aria-label="3 stars" aria-describedby="769745931_5095255513_5095255516-label"
aria-checked="false">
</div>
<span id="769745931_5095255513_5095255516-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span>
</span>
</div>
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<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="4 stars">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745931_5095255513_5095255517" name="769745931_5095255513" type="radio" class="emoji-button-input" value="5095255517" aria-label="4 stars" aria-describedby="769745931_5095255513_5095255517-label"
aria-checked="false">
</div>
<span id="769745931_5095255513_5095255517-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span>
</span>
</div>
</div>
</td>
<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="5 stars">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745931_5095255513_5095255518" name="769745931_5095255513" type="radio" class="emoji-button-input" value="5095255518" aria-label="5 stars" aria-describedby="769745931_5095255513_5095255518-label"
aria-checked="false">
</div>
<span id="769745931_5095255513_5095255518-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span> Most/High </span>
</div>
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="matrix_rating" data-rq-question-type="emoji" class="question-container
">
<div id="question-field-769745932" data-qnumber="5" data-qdispnumber="4" data-question-id="769745932" class=" question-emoji-rating qn question rating question-required">
<h3 class="screenreader-only">Question Title</h3>
<div class=" question-fieldset question-legend">
<h4 id="question-title-769745932" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 4<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> How would you rate your experience with our Sales/Marketing personnel when you contact us for quoting assistance?</span>
</h4>
<div class="question-body question-body-emoji clearfix notranslate ">
<table class="question-emoji-rating-table question-matrix-table table-reset reflow" cellspacing="0" role="presentation">
<thead>
<tr>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated"> Least/Low </td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated">
</td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated">
</td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated">
</td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated"> Most/High </td>
</tr>
</thead>
<tbody>
<tr data-radio-button-group="" class="question-matrix-row-even question-matrix-row-last">
<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="1 star">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745932_5095255523_5095255524" name="769745932_5095255523" type="radio" class="emoji-button-input" value="5095255524" aria-label="1 star" aria-describedby="769745932_5095255523_5095255524-label"
aria-checked="false">
</div>
<span id="769745932_5095255523_5095255524-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span> Least/Low </span>
</div>
</div>
</td>
<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="2 stars">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745932_5095255523_5095255525" name="769745932_5095255523" type="radio" class="emoji-button-input" value="5095255525" aria-label="2 stars" aria-describedby="769745932_5095255523_5095255525-label"
aria-checked="false">
</div>
<span id="769745932_5095255523_5095255525-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span>
</span>
</div>
</div>
</td>
<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="3 stars">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745932_5095255523_5095255526" name="769745932_5095255523" type="radio" class="emoji-button-input" value="5095255526" aria-label="3 stars" aria-describedby="769745932_5095255523_5095255526-label"
aria-checked="false">
</div>
<span id="769745932_5095255523_5095255526-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span>
</span>
</div>
</div>
</td>
<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="4 stars">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745932_5095255523_5095255527" name="769745932_5095255523" type="radio" class="emoji-button-input" value="5095255527" aria-label="4 stars" aria-describedby="769745932_5095255523_5095255527-label"
aria-checked="false">
</div>
<span id="769745932_5095255523_5095255527-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span>
</span>
</div>
</div>
</td>
<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="5 stars">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745932_5095255523_5095255528" name="769745932_5095255523" type="radio" class="emoji-button-input" value="5095255528" aria-label="5 stars" aria-describedby="769745932_5095255523_5095255528-label"
aria-checked="false">
</div>
<span id="769745932_5095255523_5095255528-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span> Most/High </span>
</div>
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="matrix_rating" data-rq-question-type="emoji" class="question-container
">
<div id="question-field-769745933" data-qnumber="6" data-qdispnumber="5" data-question-id="769745933" class=" question-emoji-rating qn question rating question-required">
<h3 class="screenreader-only">Question Title</h3>
<div class=" question-fieldset question-legend">
<h4 id="question-title-769745933" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 5<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> How interested would you be in AFS/IBEX collecting down payments on your behalf?</span>
</h4>
<div class="question-body question-body-emoji clearfix notranslate ">
<table class="question-emoji-rating-table question-matrix-table table-reset reflow" cellspacing="0" role="presentation">
<thead>
<tr>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated"> Least/Low </td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated">
</td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated">
</td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated">
</td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated"> Most/High </td>
</tr>
</thead>
<tbody>
<tr data-radio-button-group="" class="question-matrix-row-even question-matrix-row-last">
<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="1 star">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745933_5095255533_5095255534" name="769745933_5095255533" type="radio" class="emoji-button-input" value="5095255534" aria-label="1 star" aria-describedby="769745933_5095255533_5095255534-label"
aria-checked="false">
</div>
<span id="769745933_5095255533_5095255534-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span> Least/Low </span>
</div>
</div>
</td>
<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="2 stars">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745933_5095255533_5095255535" name="769745933_5095255533" type="radio" class="emoji-button-input" value="5095255535" aria-label="2 stars" aria-describedby="769745933_5095255533_5095255535-label"
aria-checked="false">
</div>
<span id="769745933_5095255533_5095255535-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span>
</span>
</div>
</div>
</td>
<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="3 stars">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745933_5095255533_5095255536" name="769745933_5095255533" type="radio" class="emoji-button-input" value="5095255536" aria-label="3 stars" aria-describedby="769745933_5095255533_5095255536-label"
aria-checked="false">
</div>
<span id="769745933_5095255533_5095255536-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span>
</span>
</div>
</div>
</td>
<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="4 stars">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745933_5095255533_5095255537" name="769745933_5095255533" type="radio" class="emoji-button-input" value="5095255537" aria-label="4 stars" aria-describedby="769745933_5095255533_5095255537-label"
aria-checked="false">
</div>
<span id="769745933_5095255533_5095255537-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span>
</span>
</div>
</div>
</td>
<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="5 stars">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745933_5095255533_5095255538" name="769745933_5095255533" type="radio" class="emoji-button-input" value="5095255538" aria-label="5 stars" aria-describedby="769745933_5095255533_5095255538-label"
aria-checked="false">
</div>
<span id="769745933_5095255533_5095255538-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span> Most/High </span>
</div>
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="matrix_rating" data-rq-question-type="emoji" class="question-container
">
<div id="question-field-769745934" data-qnumber="7" data-qdispnumber="6" data-question-id="769745934" class=" question-emoji-rating qn question rating question-required">
<h3 class="screenreader-only">Question Title</h3>
<div class=" question-fieldset question-legend">
<h4 id="question-title-769745934" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 6<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> How interested would you be in participating in an AFS/IBEX Agency forum to share ideas on premium finance products and services?</span>
</h4>
<div class="question-body question-body-emoji clearfix notranslate ">
<table class="question-emoji-rating-table question-matrix-table table-reset reflow" cellspacing="0" role="presentation">
<thead>
<tr>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated"> Least/Low </td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated">
</td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated">
</td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated">
</td>
<td style="width:20.0%;" class="matrix-col-label question-body-font-theme user-generated"> Most/High </td>
</tr>
</thead>
<tbody>
<tr data-radio-button-group="" class="question-matrix-row-even question-matrix-row-last">
<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="1 star">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745934_5095255543_5095255544" name="769745934_5095255543" type="radio" class="emoji-button-input" value="5095255544" aria-label="1 star" aria-describedby="769745934_5095255543_5095255544-label"
aria-checked="false">
</div>
<span id="769745934_5095255543_5095255544-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span> Least/Low </span>
</div>
</div>
</td>
<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="2 stars">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745934_5095255543_5095255545" name="769745934_5095255543" type="radio" class="emoji-button-input" value="5095255545" aria-label="2 stars" aria-describedby="769745934_5095255543_5095255545-label"
aria-checked="false">
</div>
<span id="769745934_5095255543_5095255545-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span>
</span>
</div>
</div>
</td>
<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="3 stars">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745934_5095255543_5095255546" name="769745934_5095255543" type="radio" class="emoji-button-input" value="5095255546" aria-label="3 stars" aria-describedby="769745934_5095255543_5095255546-label"
aria-checked="false">
</div>
<span id="769745934_5095255543_5095255546-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span>
</span>
</div>
</div>
</td>
<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="4 stars">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745934_5095255543_5095255547" name="769745934_5095255543" type="radio" class="emoji-button-input" value="5095255547" aria-label="4 stars" aria-describedby="769745934_5095255543_5095255547-label"
aria-checked="false">
</div>
<span id="769745934_5095255543_5095255547-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span>
</span>
</div>
</div>
</td>
<td class="touch-sensitive">
<div data-sm-emoji-button="">
<div class="emoji-rating emoji-yellow">
<div class="smf-icon emoji-color star" aria-hidden="true"></div>
<div class="smf-icon emoji-border star emoji-yellow" aria-label="5 stars">
<span class="rating-fill" aria-hidden="true"></span>
<input id="769745934_5095255543_5095255548" name="769745934_5095255543" type="radio" class="emoji-button-input" value="5095255548" aria-label="5 stars" aria-describedby="769745934_5095255543_5095255548-label"
aria-checked="false">
</div>
<span id="769745934_5095255543_5095255548-label" class="emoji-label-text question-body-font-theme user-generated">
<span class="smusr_radio-row-text"></span> Most/High </span>
</div>
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="presentation_descriptive_text" data-rq-question-type="presentation_text" class="question-container
">
<div id="question-field-769745944" data-qnumber="8" data-qdispnumber="" data-question-id="769745944" class=" question-presentation-text qn question descriptive_text">
<div class="question-body-font-theme question-presentation-text user-generated">
<span class="user-generated notranslate
">
<strong>Please rank the following aspects by value of importance to you, with (1) indicating the most important and (4) indicating the least important.</strong></span>
</div>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="matrix_ranking" data-rq-question-type="ranking" class="question-container
">
<div id="question-field-769745935" data-qnumber="9" data-qdispnumber="7" data-question-id="769745935" class=" question-ranking qn question ranking question-required" data-question-ranking="">
<h3 class="screenreader-only">Question Title</h3>
<div class=" question-fieldset question-legend">
<h4 id="question-title-769745935" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 7<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Which is most important when choosing a premium finance company?</span>
</h4>
<div class="question-body clearfix notranslate question-ranking-ranks-container ">
<div class="question-ranking-sortable-container ">
<div id="769745935-duplicate-selected" class="screenreader-only top" tabindex="-1"></div>
<div class="question-ranking-rank-wrapper">
<div class="question-ranking-rank">
<div class="question-ranking-table-wrapper">
<div class="question-ranking-table-row-wrapper">
<div class="question-ranking-bullet-cell spacer_right" aria-hidden="true">
<span class="question-ranking-bullet"></span>
</div>
<div class="question-ranking-select-cell spacer_right">
<select data-row-id="5095255551" class="question-ranking-rank-select select no-touch" data-question-id="769745935" id="769745935_5095255551" data-row-label="APR">
<option></option>
<option value="5095255555" class="user-generated"> 1 </option>
<option value="5095255556" class="user-generated"> 2 </option>
<option value="5095255557" class="user-generated"> 3 </option>
<option value="5095255558" class="user-generated"> 4 </option>
</select>
</div>
<div class="question-ranking-answer-cell">
<label class="question-body-font-theme answer-label answer-label-rank user-generated" for="769745935_5095255551"> APR </label>
</div>
</div>
</div>
</div>
</div>
<div class="question-ranking-rank-wrapper">
<div class="question-ranking-rank">
<div class="question-ranking-table-wrapper">
<div class="question-ranking-table-row-wrapper">
<div class="question-ranking-bullet-cell spacer_right" aria-hidden="true">
<span class="question-ranking-bullet"></span>
</div>
<div class="question-ranking-select-cell spacer_right">
<select data-row-id="5095255552" class="question-ranking-rank-select select no-touch" data-question-id="769745935" id="769745935_5095255552" data-row-label="Payment Terms">
<option></option>
<option value="5095255555" class="user-generated"> 1 </option>
<option value="5095255556" class="user-generated"> 2 </option>
<option value="5095255557" class="user-generated"> 3 </option>
<option value="5095255558" class="user-generated"> 4 </option>
</select>
</div>
<div class="question-ranking-answer-cell">
<label class="question-body-font-theme answer-label answer-label-rank user-generated" for="769745935_5095255552"> Payment Terms </label>
</div>
</div>
</div>
</div>
</div>
<div class="question-ranking-rank-wrapper">
<div class="question-ranking-rank">
<div class="question-ranking-table-wrapper">
<div class="question-ranking-table-row-wrapper">
<div class="question-ranking-bullet-cell spacer_right" aria-hidden="true">
<span class="question-ranking-bullet"></span>
</div>
<div class="question-ranking-select-cell spacer_right">
<select data-row-id="5095255553" class="question-ranking-rank-select select no-touch" data-question-id="769745935" id="769745935_5095255553" data-row-label="Customer Service">
<option></option>
<option value="5095255555" class="user-generated"> 1 </option>
<option value="5095255556" class="user-generated"> 2 </option>
<option value="5095255557" class="user-generated"> 3 </option>
<option value="5095255558" class="user-generated"> 4 </option>
</select>
</div>
<div class="question-ranking-answer-cell">
<label class="question-body-font-theme answer-label answer-label-rank user-generated" for="769745935_5095255553"> Customer Service </label>
</div>
</div>
</div>
</div>
</div>
<div class="question-ranking-rank-wrapper">
<div class="question-ranking-rank">
<div class="question-ranking-table-wrapper">
<div class="question-ranking-table-row-wrapper">
<div class="question-ranking-bullet-cell spacer_right" aria-hidden="true">
<span class="question-ranking-bullet"></span>
</div>
<div class="question-ranking-select-cell spacer_right">
<select data-row-id="5095255554" class="question-ranking-rank-select select no-touch" data-question-id="769745935" id="769745935_5095255554" data-row-label="Ease of Doing Business">
<option></option>
<option value="5095255555" class="user-generated"> 1 </option>
<option value="5095255556" class="user-generated"> 2 </option>
<option value="5095255557" class="user-generated"> 3 </option>
<option value="5095255558" class="user-generated"> 4 </option>
</select>
</div>
<div class="question-ranking-answer-cell">
<label class="question-body-font-theme answer-label answer-label-rank user-generated" for="769745935_5095255554"> Ease of Doing Business </label>
</div>
</div>
</div>
</div>
</div>
</div>
<input data-row-id="5095255551" name="769745935_5095255551" type="hidden" value="">
<input data-row-id="5095255552" name="769745935_5095255552" type="hidden" value="">
<input data-row-id="5095255553" name="769745935_5095255553" type="hidden" value="">
<input data-row-id="5095255554" name="769745935_5095255554" type="hidden" value="">
</div>
</div>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="presentation_descriptive_text" data-rq-question-type="presentation_text" class="question-container
">
<div id="question-field-769745945" data-qnumber="10" data-qdispnumber="" data-question-id="769745945" class=" question-presentation-text qn question descriptive_text">
<div class="question-body-font-theme question-presentation-text user-generated">
<span class="user-generated notranslate
">
<strong>Complete the following sentences:</strong></span>
</div>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="open_ended_essay" data-rq-question-type="open_ended" class="question-container
">
<div id="question-field-769745936" data-qnumber="11" data-qdispnumber="8" data-question-id="769745936" class=" question-essay qn question essay">
<h3 class="screenreader-only">Question Title</h3>
<div class=" question-fieldset question-legend">
<h4 id="question-title-769745936" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 8<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> I wish my premium finance company would:</span>
</h4>
<div class="question-body clearfix notranslate ">
<div class="textarea-container">
<textarea aria-labelledby="question-title-769745936" id="769745936" name="769745936" class="textarea" spellcheck="true" rows="3" cols="50" data-sm-textarea="" maxlength="20000"></textarea>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="open_ended_essay" data-rq-question-type="open_ended" class="question-container
">
<div id="question-field-769745937" data-qnumber="12" data-qdispnumber="9" data-question-id="769745937" class=" question-essay qn question essay">
<h3 class="screenreader-only">Question Title</h3>
<div class=" question-fieldset question-legend">
<h4 id="question-title-769745937" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 9<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> I wish my premium finance company would not:</span>
</h4>
<div class="question-body clearfix notranslate ">
<div class="textarea-container">
<textarea aria-labelledby="question-title-769745937" id="769745937" name="769745937" class="textarea" spellcheck="true" rows="3" cols="50" data-sm-textarea="" maxlength="20000"></textarea>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="open_ended_essay" data-rq-question-type="open_ended" class="question-container
">
<div id="question-field-769745938" data-qnumber="13" data-qdispnumber="10" data-question-id="769745938" class=" question-essay qn question essay">
<h3 class="screenreader-only">Question Title</h3>
<div class=" question-fieldset question-legend">
<h4 id="question-title-769745938" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 10<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> What I like best about AFS/IBEX is:</span>
</h4>
<div class="question-body clearfix notranslate ">
<div class="textarea-container">
<textarea aria-labelledby="question-title-769745938" id="769745938" name="769745938" class="textarea" spellcheck="true" rows="3" cols="50" data-sm-textarea="" maxlength="20000"></textarea>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="presentation_descriptive_text" data-rq-question-type="presentation_text" class="question-container
">
<div id="question-field-769745946" data-qnumber="14" data-qdispnumber="" data-question-id="769745946" class=" question-presentation-text qn question descriptive_text">
<div class="question-body-font-theme question-presentation-text user-generated">
<span class="user-generated notranslate
">
<strong>For the following questions, choose "Yes" or "No".</strong></span>
</div>
</div>
</div>
</div>
<div class="question-row clearfix
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<div data-question-type="single_choice_vertical" data-rq-question-type="single_choice_vertical" class="question-container
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<div id="question-field-769745939" data-qnumber="15" data-qdispnumber="11" data-question-id="769745939" class=" question-single-choice-radio qn question vertical question-required">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend">
<h4 id="question-title-769745939" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 11<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Did you know your insureds can setup their account on ACH debit payments online?</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-769745939">
<input id="769745939_5095255561" aria-labelledby="769745939_5095255561_label" name="769745939" type="radio" role="radio" class="radio-button-input " value="5095255561" aria-checked="false">
<label data-sm-radio-button-label="" id="769745939_5095255561_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="769745939_5095255561">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Yes </span>
</label>
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<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-769745939">
<input id="769745939_5095255562" aria-labelledby="769745939_5095255562_label" name="769745939" type="radio" role="radio" class="radio-button-input " value="5095255562" aria-checked="false">
<label data-sm-radio-button-label="" id="769745939_5095255562_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="769745939_5095255562">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> No </span>
</label>
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</div>
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</fieldset>
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<div class="question-row clearfix
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<div data-question-type="single_choice_vertical" data-rq-question-type="single_choice_vertical" class="question-container
">
<div id="question-field-769745940" data-qnumber="16" data-qdispnumber="12" data-question-id="769745940" class=" question-single-choice-radio qn question vertical question-required">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend">
<h4 id="question-title-769745940" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 12<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> I would like my AFS/IBEX representative to contact me to further discuss my premium finance needs.</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-769745940">
<input id="769745940_5095255565" aria-labelledby="769745940_5095255565_label" name="769745940" type="radio" role="radio" class="radio-button-input " value="5095255565" aria-checked="false">
<label data-sm-radio-button-label="" id="769745940_5095255565_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="769745940_5095255565">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Yes </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-769745940">
<input id="769745940_5095255566" aria-labelledby="769745940_5095255566_label" name="769745940" type="radio" role="radio" class="radio-button-input " value="5095255566" aria-checked="false">
<label data-sm-radio-button-label="" id="769745940_5095255566_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="769745940_5095255566">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> No </span>
</label>
</div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="single_choice_vertical" data-rq-question-type="single_choice_vertical" class="question-container
">
<div id="question-field-769745941" data-qnumber="17" data-qdispnumber="13" data-question-id="769745941" class=" question-single-choice-radio qn question vertical question-required">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend">
<h4 id="question-title-769745941" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 13<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> I would like more training on AFS/IBEX online quoting and account management system.</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-769745941">
<input id="769745941_5095255569" aria-labelledby="769745941_5095255569_label" name="769745941" type="radio" role="radio" class="radio-button-input " value="5095255569" aria-checked="false">
<label data-sm-radio-button-label="" id="769745941_5095255569_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="769745941_5095255569">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Yes </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-769745941">
<input id="769745941_5095255570" aria-labelledby="769745941_5095255570_label" name="769745941" type="radio" role="radio" class="radio-button-input " value="5095255570" aria-checked="false">
<label data-sm-radio-button-label="" id="769745941_5095255570_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="769745941_5095255570">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> No </span>
</label>
</div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="presentation_descriptive_text" data-rq-question-type="presentation_text" class="question-container
">
<div id="question-field-769745947" data-qnumber="18" data-qdispnumber="" data-question-id="769745947" class=" question-presentation-text qn question descriptive_text">
<div class="question-body-font-theme question-presentation-text user-generated">
<span class="user-generated notranslate
">
<strong>If you answered "Yes" to either of the previous questions, please provide your contact information below:</strong></span>
</div>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="open_ended_multi" data-rq-question-type="open_ended_multi" class="question-container
">
<div id="question-field-769745942" data-qnumber="19" data-qdispnumber="14" data-question-id="769745942" class=" question-open-ended-multi qn question multi">
<h3 class="screenreader-only">Question Title</h3>
<div class="text-input-group question-fieldset question-legend">
<h4 id="question-title-769745942" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 14<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Contact Information:</span>
</h4>
<div class="question-body clearfix notranslate ">
<div class="text-input-container clearfix">
<label class="question-body-font-theme answer-label user-generated " for="769745942_5095255571" style="width:20%;"> First Name </label><input id="769745942_5095255571" name="769745942_5095255571" type="text" class="text"
maxlength="20000" size="50" data-sm-open-single="">
</div>
<div class="text-input-container clearfix">
<label class="question-body-font-theme answer-label user-generated " for="769745942_5095255572" style="width:20%;"> Last Name </label><input id="769745942_5095255572" name="769745942_5095255572" type="text" class="text"
maxlength="20000" size="50" data-sm-open-single="">
</div>
<div class="text-input-container clearfix">
<label class="question-body-font-theme answer-label user-generated " for="769745942_5095255573" style="width:20%;"> Phone Number </label><input id="769745942_5095255573" name="769745942_5095255573" type="text" class="text"
maxlength="20000" size="50" data-sm-open-single="">
</div>
<div class="text-input-container clearfix">
<label class="question-body-font-theme answer-label user-generated " for="769745942_5095255574" style="width:20%;"> Email </label><input id="769745942_5095255574" name="769745942_5095255574" type="text" class="text" maxlength="20000"
size="50" data-sm-open-single="">
</div>
</div>
</div>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="presentation_descriptive_text" data-rq-question-type="presentation_text" class="question-container
">
<div id="question-field-769745948" data-qnumber="20" data-qdispnumber="" data-question-id="769745948" class=" question-presentation-text qn question descriptive_text">
<div class="question-body-font-theme question-presentation-text user-generated">
<span class="user-generated notranslate
">
<strong>Please provide any further feedback or features that AFS/IBEX could provide to improve your experience:</strong></span>
</div>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="open_ended_essay" data-rq-question-type="open_ended" class="question-container
">
<div id="question-field-769745949" data-qnumber="21" data-qdispnumber="15" data-question-id="769745949" class=" question-essay qn question essay">
<h3 class="screenreader-only">Question Title</h3>
<div class=" question-fieldset question-legend">
<h4 id="question-title-769745949" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 15<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Comments</span>
</h4>
<div class="question-body clearfix notranslate ">
<div class="textarea-container">
<textarea aria-labelledby="question-title-769745949" id="769745949" name="769745949" class="textarea" spellcheck="true" rows="3" cols="50" data-sm-textarea="" maxlength="20000"></textarea>
</div>
</div>
</div>
</div>
</div>
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</div>
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<button type="submit" data-submit-page-button="" class="btn small done-button survey-page-button user-generated notranslate"> Submit </button>
</div>
<input type="hidden" id="survey_data" name="survey_data"
value="4FoTYerhlqpl9PSGmuD5ISJ_2BEPdEMkhJmG92LHYsthg_2B36GoHKMUDXRlsm5FAGnv2Sm0l2JvsDBmhfSl5_2BTuOvbiPE2TEh8yBCkMDlFwbhX0Fj6PCKgFE_2FaXEy6N7pi7abSDB4rHmAvOUP0BgoURgbkbPahXSKDa_2BiQQsAoS8fez9WReWggXXAnoMqDIxk8A6GuHga_2F2c0OZy91xtUcApKhQ_2Bth8ognu33idgasQpkcQC8CRfqcq28aPzttXEPUmH5dZen8mNbb9V7NVBBcsHTj7zCfPq5cWT03NQbi_2BITSYPqxo3dalvHlbtNggYpqvf57oVM_2FNroa7RHM4puW1U0_2FdEqoN_2BQ2K979IR9pK7HIIENrxs7WslANBn2h_2BMrAqTai6NbaNEptOBVjmTlJje5x8evwM2Ar8Vl_2FChsrC7wef93kTmKRRQFIrR0wymetpZb_2Fals4BcZLHVmzdBuCjOkaLsNFINcdYJkfc6dw_2F9Iz8B3pxlGDxeHudU_2FL6twb0P_2BRsplWublSdKUwT_2Brxz05BdPTYLOzeN8WASB2rqP8b2LXqoPVPgy9pJ6iD7Qjr6">
<input type="hidden" data-response-quality="" id="response_quality_data" name="response_quality_data" value="{}">
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<input type="hidden" id="disable_survey_buttons_on_submit" name="disable_survey_buttons_on_submit" value="">
</form>Text Content
AGENCY PARTNER SURVEY On a scale of 1-5 (with 1 being the lowest/least and 5 the highest/most), please rate the following: QUESTION TITLE * 1. IF DOCUSIGN WERE AN INTEGRATED FEATURE FOR PFA SIGNATURES ON OUR ONLINE QUOTING SYSTEM, HOW LIKELY WOULD YOU BE TO USE IT? Least/Low Most/High Least/Low Most/High QUESTION TITLE * 2. IF OUR ONLINE SYSTEM INCLUDED A DIGITAL PLATFORM WHERE YOUR CLIENTS COULD CHOOSE TO EITHER FINANCE OR PAY THEIR PREMIUM IN FULL TO AFS/IBEX ON YOUR BEHALF, HOW LIKELY WOULD YOU BE TO USE IT? Least/Low Most/High Least/Low Most/High QUESTION TITLE * 3. HOW WOULD YOU RATE YOUR EXPERIENCE WITH OUR CUSTOMER SERVICE REPRESENTATIVES WHEN YOU CONTACT AFS/IBEX? Least/Low Most/High Least/Low Most/High QUESTION TITLE * 4. HOW WOULD YOU RATE YOUR EXPERIENCE WITH OUR SALES/MARKETING PERSONNEL WHEN YOU CONTACT US FOR QUOTING ASSISTANCE? Least/Low Most/High Least/Low Most/High QUESTION TITLE * 5. HOW INTERESTED WOULD YOU BE IN AFS/IBEX COLLECTING DOWN PAYMENTS ON YOUR BEHALF? Least/Low Most/High Least/Low Most/High QUESTION TITLE * 6. HOW INTERESTED WOULD YOU BE IN PARTICIPATING IN AN AFS/IBEX AGENCY FORUM TO SHARE IDEAS ON PREMIUM FINANCE PRODUCTS AND SERVICES? Least/Low Most/High Least/Low Most/High Please rank the following aspects by value of importance to you, with (1) indicating the most important and (4) indicating the least important. QUESTION TITLE * 7. WHICH IS MOST IMPORTANT WHEN CHOOSING A PREMIUM FINANCE COMPANY? 1 2 3 4 APR 1 2 3 4 Payment Terms 1 2 3 4 Customer Service 1 2 3 4 Ease of Doing Business Complete the following sentences: QUESTION TITLE * 8. I WISH MY PREMIUM FINANCE COMPANY WOULD: QUESTION TITLE * 9. I WISH MY PREMIUM FINANCE COMPANY WOULD NOT: QUESTION TITLE * 10. WHAT I LIKE BEST ABOUT AFS/IBEX IS: For the following questions, choose "Yes" or "No". QUESTION TITLE * 11. DID YOU KNOW YOUR INSUREDS CAN SETUP THEIR ACCOUNT ON ACH DEBIT PAYMENTS ONLINE? Yes No QUESTION TITLE * 12. I WOULD LIKE MY AFS/IBEX REPRESENTATIVE TO CONTACT ME TO FURTHER DISCUSS MY PREMIUM FINANCE NEEDS. Yes No QUESTION TITLE * 13. I WOULD LIKE MORE TRAINING ON AFS/IBEX ONLINE QUOTING AND ACCOUNT MANAGEMENT SYSTEM. Yes No If you answered "Yes" to either of the previous questions, please provide your contact information below: QUESTION TITLE * 14. CONTACT INFORMATION: First Name Last Name Phone Number Email Please provide any further feedback or features that AFS/IBEX could provide to improve your experience: QUESTION TITLE * 15. COMMENTS Submit ( Privacy & Cookie Notice Javascript is required for this site to function, please enable.