Equine Survey

1. How likely are you to join an association that offers equine liability insurance as a perk?

Not at all likely

Somewhat likely

Very likely

2. What liability limit would you consider as a minimum?

$300,000

$500,000

$1,000,000

More than $1,000,000

3. What is the name of your farm or stable?

4. What is your primary discipline?

5. Do you currently carry insurance for your equine operations?

Yes

No

Would like to

6. What equine carriers are you familiar with?

Great American

Markel

Other (specify below)

7. Please indicate the services your facility provides.

Riding lessons

Boarding and training

Horse motel

Hourly trail riding

Breeding

Therapeutic riding

Driving

Racing

Other (specify below)

If you would like us to contact you with more information, please provide your contact information below.

First Name

Last Name

Email Address *

Company

Address 1

Address 2

City

State or Province

Please Select… Alaska Alabama Arkansas American Samoa Arizona California Colorado Connecticut D.C. Delaware Florida Micronesia Georgia Guam Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Marshall Islands Michigan Minnesota Missouri Marianas Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Palau Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Virgin Islands Vermont Washington Wisconsin West Virginia Wyoming Military Americas Military Europe/ME/Canada Military Pacific Alberta Manitoba British Columbia New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory

ZIP or Postal Code

Business Phone