Business Owners Survey - RISdirect Rogers Insurance Services

Home
Quotes
Service
Insurance
Reviews
About
Contact

Home
Quotes
Service
Insurance
Reviews
About
Contact

Business Owners Survey

Answer this survey to help us understand your Business Owners Insurance needs better

Your Business Insurance Review from Rogers Insurance

* Indicates required field

Name *

First

Last

Email *

Phone Number *

1. What is your expected gross sales over the next 12 months? *

2. What is your expected employee payroll over the next 12 months? *

3. Have you purchased property or equipment over the last 12 months that you have yet to add to your policy? *

No Yes

If yes, please explain: *

4. Have you expanded operations to a different location? *

No Yes

If yes, please explain: *

5. Have you expanded operations into a different field? *

No Yes

If yes, please explain: *

6. If you take credit cards for payment or keep confidential client information, your Cyber liability coverage may not be enough in today's digital "hacking" environment. Do you need more Cyber Insurance protection than you have now? *

Yes No

7. Have any contracts expired that, at some point in the past, needed extra lines of coverage you didn't feel were necessary but had to purchase because of that contract? *

No Yes

If yes, please explain: *

8. How do you see the number of your employees changing over the next 12 months? *

Increase Decrease No change expected

9. Please describe anything else you that you've changed about your business over the last 12 months or that will change over the next 12 months? *

10. Is there any other insurance you need help with? *

No thanks. You've already taken care of my other insurance needs. No thanks. I'm not interested in better coverage or rates. Absolutely! Help me find great coverage at the best rate possible! (Please describe how we can help in the box below)

Additional information: *

11. Questions or Comments: *

Submit

(925) 365-3200

117 Town And Country Dr
Suite B
Danville, CA 94526

3026 Midway Dr #K
San Diego, CA 92110

Click Here to Email Us

Navigation

Homepage
Insurance Quotes
Policy Service
Insurance Products
Privacy Notice
Privacy Policy
Contact Us
Agent Login

Connect With Us

Share This Page

RISdirect Rogers Insurance Services
dba Royal Colonial Insurance
dba Acrisure of California, LLC

117 Town And Country Dr Suite B
Danville, CA 94526
(925) 365-3200
Click Here to Email Us

026 Midway Dr #K
San Diego, CA 92110
(925) 365-3200
Click Here to Email Us

Acrisure of California, LLC license number of 0K07568.

Website by InsuranceSplash