Questionnaire

NAME :________________________________ DATE:____________

1) ARE YOUAWARE OF ANY INSURANCE COMPANY?

a) PLEEASE SPECIFY :________________________________________________

2) D0 YOU HAVE ANY LIFE INSURANCE POLICY?

a) YES
b) NO
c) IF YES PLEEASE SPECIFY: __________________________________________

3) WHICH IS/ARE THE BEST FORM OF INVESTMENTS?

a) FIXED ASSETS
b) BANK DEPOSITS
c) JEWELLERY
d) SECURITIES, i.e. Bonds, MFs
e) SHARES
f) INSURANCE

4) WHAT DO YOU INTEND TO GAIN FROM INVESTMENTS?

a) SAVING & RETURNS
b) SECURITY
c) TAX BENEFITS

5) HOW WOULD YOU RATE INDIAN INSURANCE COMPANIES?

a) RIGID PLANS
b) NON-USER FRIENDLY
c) UNSATISFATORY SREVICES
d) NON-AGGRESSIVE
e) SATISFACTORY
f) GOOD
g) VERY GOOD

6) WHAT WOULD YOU LOOK FOR IN AN INSURANCE COs?

a) A TRUSTED NAME
b) FRIENDLY SERVICE & RESPONSIVENESS
c) GOOD PLANS
d) ACCESSIBILITY
7) WOULD YOU SUBSCRIBE FOR AN INSURANCE POLICY FROM
A SERVICE PROVIDER WHO IS AWAY FROM THE CITY BUT
OFFERS BETTER SERVICES & PRODUCTS?
a) YES
b) NO
c) UNCERTAIN

THANK YOU

AGE : _________________
SEX : _________________
OCCUP
ATION : _________________

ADDRES
______________________________________
S _______________________
CONTAC
T NO. : _____________