BROKER SURVEY - QUESTION & ANSWER
Date:		AE Name:

BROKER INFORMATION
Company Name:
Customer Name:		Email:
Phone:		Fax:
Address:
City:		ST:		ZIP:

QUESTIONNAIRE
1. How many sales reps:
2. How many leads per Rep per day avg:
3. Marketing Campaign:	Telemarketing	Web Leads	Radio	TV	Realtors	Other
4. Average Monthly marketing budget:
5. Who handles the decline process?
6. What LOS do you use:
7. What other products/services do you offer: