Amerisure Video Survey
Please candidly answer the following questions. Your answers will be anonymous. Your feed back is very important to us and we thank you for your participation.
Please select your age range:
Please select your gender:
Please select the state in which you live:
Please indicate the metropolitan area in which you live:
Had you previously heard of Amerisure?
If you answered "No" to question 5, please skip to question 7.
If you answered "Yes" to question 5, please answer question 6.
How familiar are you with Amerisure?
Based on what you saw in the video, please select how likely you are to:
Do you agree or disagree with the following statements: