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Coverage	-- Select --CarHomeownersRentersLifeHealthOtherBusiness
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Reason You Chose State Auto	-- Select --Cost was less than other optionsPolicy provided better coverageMore policy options availableBetter customer service than othersUsability (easy payments, online access, etc.)Better claim handling than othersPersonal assistance from agentRecommended by a friend or family memberOnly option available
Insured with State Auto for...	-- Select --Less than 6 Months6 Months - 1 Year1 - 2 Years2 - 3 Years3 - 5 Years5+ Years
Filed Claim with State Auto?	NoYes
Claim Satisfaction	01 (Lowest)2345 (Highest)
Policy Cost	01 (Lowest)2345 (Highest)
Billing / Payments	01 (Lowest)2345 (Highest)
Customer Service	01 (Lowest)2345 (Highest)
Liklihood of Renewal	01 (Lowest)2345 (Highest)
Overall Satisfaction	01 (Lowest)2345 (Highest)

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Date of Birth	-- Month --JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember-- Day --12345678910111213141516171819202122232425262728293031-- Year --2018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913
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