What type of insurance coverage are you seeking?
Auto
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Life
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What coverage level are you interested in?
Basic
Standard
Enhanced
Comprehensive
Customized
What is your primary reason for seeking insurance?
Financial protection
Peace of mind
Family security
Business continuity
Legal requirements
What additional coverage features interest you?
Accident forgiveness
Rental car coverage
Identity theft protection
Pet coverage
Travel insurance
How would you prefer to handle your insurance transactions?
Online
In-person with an agent
Over the phone
Via mobile app
Through email communication
What is your familiarity level with insurance policies?
Novice
Intermediate
Advanced
Expert
Not sure
All set, how can we reach you?
Name
Email
Phone
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