Channel Harvest Research 2014:

Leaving Independent Agents
To Their Own Devices


Thank you for participating in our survey.

So we can send you the summary survey results, please provide your name and email address. These will be kept confidential—all survey results are reported in aggregate format, without identifying individual respondents.

Your Name

First Last

Your Agency

email Address*

Zip code (5-digit)

* Confidential but required for return of summary survey results