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Did you request emergency roadside assistance recently?

Tell us how we did. Your feedback is appreciated.


Reimbursement Form

Click here to download the form (PDF)

   
Overall, how were you satisfied with AAA Emergency Road Service experience?

Totally Satisfied

Satisfied

Neither

Dissatisfied

Totally Dissatisfied
What service did you receive?
How long did it take for you to receive service from the time you called until the service vehicle arrived?
Were you satisfied with the response time?

Totally Satisfied

Satisfied

Neither

Dissatisfied

Totally Dissatisfied
Was the emergency call answered promptly?
Yes 

AAA Telephone Operator
How satisfied were you with the AAA call taker in each of the following areas?

Answered phone in timely manner?

Totally Satisfied

Satisfied

Neither

Dissatisfied

Totally Dissatisfied
Able to do what was necessary to help?

Totally Satisfied

Satisfied

Neither

Dissatisfied

Totally Dissatisfied
Courtesy/sympathy/understanding

Totally Satisfied

Satisfied

Neither

Dissatisfied

Totally Dissatisfied
Knows AAA and Policies

Totally Satisfied

Satisfied

Neither

Dissatisfied

Totally Dissatisfied
Provided helpful information

Totally Satisfied

Satisfied

Neither

Dissatisfied

Totally Dissatisfied

Service Vehicle Driver
How satisfied were you with the Service Vehicle Driver in each of the following areas?

Appearance of service vehicle?

Totally Satisfied

Satisfied

Neither

Dissatisfied

Totally Dissatisfied
Appearance of service vehicle driver?

Totally Satisfied

Satisfied

Neither

Dissatisfied

Totally Dissatisfied
Courtesy/sympathy/understanding

Totally Satisfied

Satisfied

Neither

Dissatisfied

Totally Dissatisfied
Knew how to service your vehicle correctly?

Totally Satisfied

Satisfied

Neither

Dissatisfied

Totally Dissatisfied
Able to do what was necessary to help?

Totally Satisfied

Satisfied

Neither

Dissatisfied

Totally Dissatisfied
         
If you wish to be contacted regarding this service call, please fill out the followng spaces.
Member Number
Email Address
Telephone Number

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