Assurances Maghrebia > Customers Survey Questionnaire  

  Through this “Customer Survey”, we would particularly like to assess the quality of our services and analyze your needs to better give you satisfaction.

For this reason, we invite you to answer this questionnaire and we thank you in advance for your answers.
  1. Indicate the type(s) of insurance contract(s) that you subscribed to and your level of satisfaction. State your reasons.
 
Types of contracts
VS*
S*
PS*
Your reasons
  Vehicle
 
Life (except death temporary)
detail
  Group healthcare
  Lodging Multi-risks
  Professional Multi-risks
  Individual Accidents
  Theft
  Fire
  Civil Responsibility
  Transport
 
Others:

VS : Very Satisfied || S : Satisfied || PS : Poorly Satisfied
(*) Check the corresponding box
2. What are your general impressions about the service ?
Very satisfied Satisfied Poorly satisfied
State your reason (s)
3. Do you have comment(s) to make concerning products offered by our company?
Yes
No
 
When YES, please indicate the type (s) of product (s) and the concerned level (price, service ...)
4. Are you interested by an insurance contract?
Life (additional retirement /Family annuity)
Healthcare / Hospitalization School Lodging multi-risk
Professional Multi-risk Individual accidents Others
When yes, please describe:

Observations and suggestions:
personal Informations :
First and Family Names:
Date of Birt :
Civil Status:
Number of Children:
Adress:
Phone:    
Occupation:
Company:
Adress:
 
Phone:
Fax:
E-Mail:
 
You can send us the questionnaire by fax at 71.788.334 (to the attention of the Service Marketing)
by mail to the following address: MAGHREBIA INSURANCES, Service Marketing
64, rue de Palestine 1002 Tunis
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