Customer exit survey

Member Number

Full Name

Date

Have you:

Transferred to another fund

Terminated without transferring

If you transferred to another fund, what was the main reason?

Price

Customer service

Hospital benefits

Ancillary benefits

Convenience as moved to mainland

Corporate plan

Advertised product

Other

Which fund did you transfer to?

What product did you transfer to?:

If you did not transfer to another fund, what was the main reason for cancelling your policy?

Can't afford

Not required

Dissatisfied with claim

Customer service

DVA Gold Card

Other

If yes, what is the best time to contact you?

Phone Number

In follow up to the above questions, can you briefly expand on your reason for transferring/cancelling?

What could we have done better in order to have kept your membership?

Customer Exit Survey