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California Department of Insurance  Complaint Handling Evaluation Form
Case # 8603782
1.In my opinion, my complaint and/or inquiry was handled by the Department of
Insurance in a fair and reasonable manner
Single choice
Strongly Agree
Agree
Neutral
Slightly Disagree
Disagree
N/A
2.Complaints/Inquiries have different levels of complexity. Considering the
issues involved in my complaint/inquiry, it was handled within a reasonable
amount of time. 
Single choice
Strongly Agree
Agree
Neutral
Slightly Disagree
Disagree
N/A
3. Was your complaint/inquiry referred to another agency other than the
Department of Insurance for handling?
Single choice
Yes
No
N/A
4.If yes in above question, it was referred within a reasonable time.
Single choice
Strongly Agree
Agree
Neutral
Slightly Disagree
Disagree
N/A
5.While the outcome of the complaint/inquiry could have been favorable or
unfavorable, the staff involved in handling my complaint/inquiry was
knowledgeable of the issues involved.
Single choice
Strongly Agree
Agree
Neutral
Slightly Disagree
Disagree
N/A
6.While the outcome of the complaint/inquiry could have been favorable or
unfavorable, I was satisfied with the result of the Department's assistance.
Single choice
Strongly Agree
Agree
Neutral
Slightly Disagree
Disagree
N/A
7.I would recommend the services of the Department of Insurance to others.
Single choice
Strongly Agree
Agree
Neutral
Slightly Disagree
Disagree
N/A
8.Comments:
Multi Line Text

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