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All fields are required except where noted.   Survey Claim General Information First Name: Last Name: Address: City: State: Zip: Telephone: - - EMail Degree of Promptness: Superior Better than Expected About what expected Less than Expected Disappointed Courtesy and Professionalism of Turner Barker Employees: Superior Better than Expected About what expected Less than Expected Disappointed Courtesy and Professionalism of Insurance Company Adjuster: Superior Better than Expected About what expected Less than Expected Disappointed Had no dealings with Ins. Adjuster Fairness of Settlement: Superior Better than Expected About what expected Less than Expected Disappointed Other Comments: