Insurance questionnaire
Insurance questionnaire
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What type of insurance are you interested in?
Life Insurance
Health Insurance
Pet Insurance
Travel Insurance
Home Insurance
Car Insurance
Other (please specify)
Other (please specify)
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What is your current insurance coverage status?
Fully Covered
Partial Coverage
Not Covered
Not Sure
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Are you satisfied with your current insurance provider?
Yes
No
Neutral
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On a scale of 1 to 10, how satisfied are you with the coverage provided by your insurance?
Not Satisfied
Very Satisfied
1
2
3
4
5
6
7
8
9
10
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What factors are most important to you when choosing an insurance provider? (Select all that apply)
Financial Stability
Convenience
Claims Process
Reputation
Customer Service
Coverage
Cost
Other (please specify)
Other (please specify)
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How likely are you to recommend your current insurance provider to others?
Not Likely at All
Slightly Likely
Moderately Likely
Very Likely
Extremely Likely
Not Likely at All
Slightly Likely
Moderately Likely
Very Likely
Extremely Likely
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Any additional comments or feedback about your insurance experience?
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