Mapire Insular Corporate Center ‘Acacia Avenue, Madrigal Susiness Park, Aye T+652876 46.46 F652 87649.64 Alabong Muntntupe City ait infomapfrsinsular om PROVIDERS UNIT @MAPFRE| INSULAR Customer Satisfaction Survey Name of Repair Shop: ‘Type of Repair Shop: (Wr-house Desler/Non In-house Dealer Distinguished Repair Shop/Others) Vehicle (Year Model, Make, Design) Date of Accident: Date vehicle delivered to repair shop (with approved LOA) Date vehicle released: “Amount of claim (including assured!’s participation/deductible) Contact Number: Email Address: Dear Valued Client, ‘We wish to know your experience with our Repair Shops. Kindly take ive (5) to ten (20) minutes of your time to accomplish the survey form, Your opinions, suggestions and/er comments are very important tus. {Please put a check mark below) Poor Fair Good VeryGood Excellent ‘Quality of work performed Willingness to perform beyond what Is expected for satisfaction of client Professionalism of repair shop employee Explanation of work performed on your vehicle Completion of repair in the time promised FREE ADVANTAGES AVAILED: (Applicable to Distinguished Shops while Optional to others) Yes No FREE Pick-up and deliver of insured vehicle upon request of cient FREE check-up of oll and engine (regardless of amount of claim) FREE carwash (regardless of amount of repair) FREE buffing and interior cleaning for PhpS0,000 above claims Five (6) to Ten (10} discount given by the repair shop for personal account of cent (nor-aceident related clair) ‘Travel Allowance Benefit (TAB program) of Php300/day maximum of seven (7) days; applicable to selected Distinguished Repair Shops and fr claims Php100,000 and above only Would you recommend our repair shop toa friend or family member? Ois the lowest and 10 is the highest. Please check you rating ot z z a = é z = 2 | I J ‘Asa summary, which s your level of general satisfaction about your cars service at our repair shop, Os the lowest and 10%s the highest. Please check your rating ° 1 Fl 3 a Bef tes aicciy = 3 30 I your claims has some motor parts for replacement, kindly answer the question below. If NONE, PLEASE LEAVE IT BLANK YES NO Did the repair shop present to you the parts replaced? Other Comments: [NAME OF ASSURED/REPRESENTATIVE SIGNATURE DATE SIGNED Note to reat shons, PLEASE EMAIL DIRECTLY THE ACCOMPLISHED SURVEY FORM on or before” of the month to PROVIDERS UNIT @ roMidersunit@maptrensula.com: dbdabace®maptrensular.com: Or you may sendt thru courier at Providers unit 9F MAPERE INSULAR CORPORATE CENTER, [MADRIGAL BUSINESS PARK, AYALA ALABANG MUNTINLUPA ITY. For you strict compliance pease. Provides unit Customer Survey 03142018