Over 70% of all collision repairs fail to meet the standard of safety and quality of repair, in addition many also involve fraud. If your vehicle has been repaired recently, take our FREE Collision Survey and we'll let you know if you received a quality repair.
The purpose of this survey is to provide recommendations and to help identify fraud, unsafe repairs, as well as to reduce the monetary market value loss the consumer suffers as a result of improper (sub-standard) repairs.
Name:
Phone:
E-mail:
Confirm E-mail:
Address 1:
Address 2:
City:
State:
Zip:
1. Date of accident:
MM/DD/YY
2. Number of passengers in vehicle (including driver):
1
2
3
4
5
6
7
8
3. You are:
Insured
Claimant
4. Has your vehicle been repaired?
Yes
No
5. Insurance Company:
6. Was the repair shop referred by the insurance company, or did you select a shop of your choice?
Referred by the insurance co.
Selected shop of my choice
7. What was the estimated cost of the repairs to the vehicle?
Less than $500.00
$500.00 to $1,500.00
$1,500.00 to $3,000.00
$3,000.00 to $5,000.00
$5,000.00 to $10,000.00
More than $10,000.00
8. Are you 100% satisfied with the repairs?
Yes
No
9. Did you receive a ticket?
Yes
No
10. Do you have an attorney?
Yes
No
11. Is your attorney assisting you with recovery of your property damage (damage of your vehicle)?
Yes
No
Comments:
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