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Home > Personal Lines Survey

Personal Lines Survey

Name*
First Last
Phone*
Email*
Best Way to Contact*
Homeowners
Are you interested in flood?
- Yes
- No
Are you interested in earthquake?
- Yes
- No
Are you interested in water sewage backup?
- Yes
- No
Do you have any jewelry/furs/art/guns/collectables/bicycles you are interested in scheduling?
- Yes
- No
Do you have any businesses in the home?
- Yes
- No
Do you have extra outbuildings/ other structures?
- Yes
- No
Do you do any farming at/ away from residence or lease property to farmers?
- Yes
- No
Has the deed been changed on your property, ex) LLC or Trust?
- Yes
- No
Automobile
Do you have a company car?
- Yes
- No
Do you have any collector/antique autos?
- Yes
- No
Are all vehicles on your policy titled to you?
- Yes
- No
Are all licensed drivers that reside in your household listed on your policy?
- Yes
- No
Do you drive for Lyft, Uber or any other ridesharing service?
- Yes
- No
Do you deliver pizza or other goods in your car?
- Yes
- No
Do you drive your vehicle for business?
- Yes
- No
Are you comfortable with your current liability limits?
- Yes
- No
Toys
Do you have any motorcycles/ATV/golf carts?
- Yes
- No
Do you have any boats or personal watercrafts?
- Yes
- No
Do you have a RV/travel trailer/camper?
- Yes
- No
Are you interested in Pet Insurance?
- Yes
- No
Properties
Do you own any other property besides your main home: (rental, secondary homes, vacant land)?
- Yes
- No
Umbrella
Are you interested in a personal umbrella that gives additional liability over your home and auto policies?
- Yes
- No
Life/Health
Are you interested in Life insurance?
- Yes
- No
Are you interested in Disability Insurance?
- Yes
- No
Are you interested in Long-Term Care?
- Yes
- No
Are you interested in an Annuity?
- Yes
- No
Are you interested in Financial Planning / Investment Services?
- Yes
- No
Do you have health/dental/vision insurance?
- Yes
- No
Are you interested in Medicare supplement insurance?
- Yes
- No
Are you interested in insurance for your next vacation?
- Yes
- No
Business
Do you own a business?
- Yes
- No
If yes, do you carry business insurance?
- Yes
- No

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Customer Reviews

They've always been very friendly and helpful.Angela P., Lexington, North Carolina

They have always provided me with the best care for all my insurance needs!Jacob W., Lexington, North Carolina

I've consistently notice the willingness and devotion from the workers...Matt V., Lexington, North Carolina

I'd recommend Breeden Insurance to anyoneBryan C., Lexington, North Carolina

EN

...Go out of their way for each individual to find the best quotes...Eugene N., Lexington, North Carolina

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Lexington Office

312 W. Center Street
Lexington, North Carolina 27292

Phone: (800) 603-4065

Local: (336) 249-8616

Fax: (336) 249-0391

Office Hours:
Mon-Fri: 8:30am-5:30pm
Sat-Sun: Closed

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Denton Office

49 Anderson Street
Denton, North Carolina 27239

Phone: (336) 859-0688

Fax: (336) 859-0740

Office Hours:
Mon-Fri: 8:30am-5:30pm
Sat-Sun: Closed

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Winston-Salem Office

12200 N NC Highway 150
Suite 5
Winston-Salem, North Carolina 27127

Phone: (336) 764-8892

Fax: (336) 764-8894

Office Hours:
Mon-Fri: 8:30am-5:30pm
Sat-Sun: Closed

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Breeden Insurance Services, Inc. Provides Car Insurance, Homeowners Insurance, Business Insurance, Life Insurance, and Commercial Auto Insurance to All of North Carolina, Including Lexington, Winston Salem, and Denton.

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