PLEASE COMPLETE THE SURVEY BELOW
The information helps Veterinarian Insurance better serve its clients.
Upon your submission of the survey form, we will send you
the checklist for insurance protection.
Email
Are you an Owner or Associate of Your Veterinary Practice?
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Owner
Practice Manager
Associate
Vet Tech
Not in Veterinary Practice
Last time your business insurance was reviewed?
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2018
2017
2016
2015
2014
2013
2012
Before 2012
How confident are you that your liability insurance adequately covers errors made by you and your employees?
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Lowly confident
Not confident
Neither confident or not confident
Confident
Highly confident
I do NOT have professional liability insurance
How confident are you that you have enough disability insurance to protect you and your family if you got sick or injured and were no longer able to generate income as a veterinarian?
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Lowly confident
Not confident
Neither confident or not confident
Confident
Highly confident
I do NOT have disability insurance
How confident are you that you have enough property insurance for your home and business if damaged, destroyed or lost?
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Lowly confident
Not confident
Neither confident or not confident
Confident
Highly confident
I do NOT have property insurance
How much life insurance do you have?
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$0
$1 to $250,000
$250,001 to $500,000
$501,000 to $750,000
$750,001 to $1,000,000
> $1,000,000
How confident are you that you have enough life insurance to protect your family if you were to suddenly die?
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Lowly confident
Not confident
Neither confident or not confident
Confident
Highly confident
I do NOT have life insurance
Number of brokers you currently have for ALL insurance plans for yourself, family, veterinary practice and business?
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0
1
2
3
4
5
> 5
Interest in having 1 broker that specializes in veterinarian insurance to manage ALL your plans that protect you, your family and business against financial risk?
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Very interested
Interested
Neither interested or not interested
Not interested
Not very interested
Did you know Veterinarian Insurance pledges 5% of all commissions to charities that help animal and environmental causes like Veterinarian without borders?
Select...
Yes
No
Company
Business State
SMS Number
Office Phone
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