How many family members are covered under your current insurance?
1-2 3-4 5-6 7+ None
Which insurance type do you prioritize most?
Health Life Auto Home Other
What are your biggest concerns regarding insurance coverage?
Affordability Coverage limits Claim process Customer service Policy options
How satisfied are you with your current insurance provider?
Very satisfied Satisfied Neutral Unsatisfied Very unsatisfied
What additional insurance coverage would you consider in the future?
Travel insurance Pet insurance Disability insurance Business insurance None
How important is transparency in insurance policies to you?
Very important Important Neutral Not very important Not important
All set, how can we reach you?
Name
Email
Phone
(Details here)
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