How did you find out about our web site?

What is your overall view of our web site?

Did you find the information that you were looking for?

Yes, I found the information I was looking for easily.

Yes, I found the information I was looking for, however it was difficult to find.

No, I did not find the information I was looking for.

I was not looking for anything specific.

Could you find a German Mutual agent?

Yes, it was simple to find an agent.

Yes, however it was difficult to find an agent.

No, I could not find an agent.

I was not looking for an agent.

Have you ever purchased anything online?

 Yes

 No

Have you ever purchased insurance online?

 Yes

 No

Did you leave the site with any unanswered questions?

 Yes

 No

If yes: enter your question below

Do you want to be contacted concerning your question?

 Yes

 No

If yes, how?

 Email

 Phone

Email Address

Phone Number

Name

Comments: