Home  Print Page
Customer Completion / Satisfaction Form
Member Login You are here: Home Customer Completion / Satisfaction Form
Visit the website's of ACI's
sister companies by clicking
on the banners below.
Australian Alternative Insurances
Home Owners Warranty
BizVision
 

 
Date*:  
Claim No*.  
 
I of wish to advise that repairs to my premises are*:
Completed:
Progressing to my satisfaction:
 
Please complete the following to assist us with our continual improvement program:
Satisfaction Rating Scale: 1 Poor  |  2 Average  |  3 Good  |  4 Excellent
 
INSURER
  1 2 3 4
 Timeline
 Customer Service
 Quality of Work
         

SERVICE PROVIDER
  1 2 3 4
 Timeline
 Customer Service
 Quality of Work
         
 
Any further comments you would like to make:  

 *Required Information