Insurance Surveys

310-290-S

XXXXXXXXXX In Reply Refer To XXXXXXXXXX 310/295-S

XXXXXXXXXX CXXXXXXXXXX

Dear XXXXXXXXX :

We recently processed an application for Service-Disabled Veterans Insurance.

Now we would like to know if we did the best possible job. You can help us by doing the following:

1. Fill out the enclosed survey.

2. Send it to us in the enclosed envelope. (We've paid for the postage.)

This survey is voluntary, however, completing it will help us improve our service.

Thank you for taking your time to help us. Please return your survey as soon as possible to make sure we can include your responses in the results.

If you have any questions about your insurance policy, then please feel free to contact us.

Sincerely yours,

David Roesner

Chief, Insurance Claims Division

Enclosures

Survey

Postage Paid Envelope

VA GOVERNMENT LIFE INSURANCE

APPLICATION SURVEY

	Strongly		Neither Agree		Strongly	No Other
	Agree	Agree	nor Disagree	Disagree	Disagree	Insurance
1. It was easy to obtain the application form.	[ ]	[ ]	[ ]	[ ]	[ ]
2. The application was easy to complete.	[ ]	[ ]	[ ]	[ ]	[ ]
3. Our communications were understandable.	[ ]	[ ]	[ ]	[ ]	[ ]
4. Our communications were courteous.	[ ]	[ ]	[ ]	[ ]	[ ]
5. Your application was approved in a timely manner.	[ ]	[ ]	[ ]	[ ]	[ ]
6. The overall quality of our service was good.	[ ]	[ ]	[ ]	[ ]	[ ]
7. Our service was good when compared with other life insurance companies.	[ ]	[ ]	[ ]	[ ]	[ ]	[ ]

8. How can we improve our service?

MMMMYYYY (survey #)

Public Reporting Burden Statement: VA may not conduct or sponsor, and respondent is not required to respond to this collection of information unless it displays a valid OMB Control Number. Public reporting burden for this collection of information is estimated to average 6 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. If you have comments regarding this burden estimate or any other aspect of this collection of information, call 1-800-827-1000.

(OMB Approval No. 2900-0771) RESPONDENT BURDEN: 6 minutes EXPIRATION DATE: MM/DD/YR