217 Route 130    Bordentown, NJ 08505

Phone   609-291-9950
800-618-9768

Insurance Fax   609-291-9954
Benefits Fax   609-291-8039

Monday-Thursday   8:30-4:45
Friday   8:30-4:00


Customer Service is the Cornerstone of our Business.

Your opinion is very important. Please take a moment to fill out this survey. Help us ensure a pleasant experience every time you call!

Respond on a scale of 1 (lowest score)  to  5 (highest score).


LOWEST  - - -  HIGHEST
1
2
3
4
5
1. How would you rate our agency's response to your request?

2. How would you rate the service you received from our agency?

3. How would you rate the Account Manager's knowledge of your account?

4. How would your rate the convenience of our agency's hours of operations?

5. Would you recommend EJA/Capacity to family and friends?

Client Name:


Client Code (written on the bottom of the survey card mailed to you):


Additional Comments:


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