Annual Customer Check In Annual review Your Name(Required) First Last Best Email(Required) Best Phone #(Required)How would you rate your experience with our agency?(Required)Select OneBeyond ExpectationsExcellentGoodPoorHomeowners InformationHave there been any significant improvements to your home in the last 12 months?(Required) Yes No If Yes, briefly explain:Have you purchased any jewelry, furs, art, cameras or collectibles in the last 12 months?(Required) Yes No Have you purchased a secondary home, rental property, farm or Vacant land in the last 12 months?(Required) Yes No Did you recently Start an In-Home Business?(Required) Yes No Auto InformationHave you purchased any previously un-reported vehicles?(Required) Yes No Have you been given access to an employer provided vehicle?(Required) Yes No Are there any new drivers in your household?(Required) Yes No Do you have any children attending college?(Required) Yes No Do you have any children under the age of 25 with a GPA of 3.0 or higher?(Required) Yes No Other InformationAre you currently on any non-profit board of a directors?(Required) Yes No Have you started a new job? Been Promoted? Any change of income/net worth?(Required) Yes No Have you hired any full-time help? (landscaping, nanny, cleaning company, etc.) Yes No(Required) Yes No
