QUESTIONNAIRE

Gender: Male Female Age: 1. Educational Qualification? A. Graduate C. Doctorate 2. Your residence is? A. Owned C. Ancestral 3. Do you have a vehicle? A. Yes If yes then A. Four wheeler 4. Is your vehicle? A. Financed C. Collage provided

B. Post graduate D. Others

B. Rented D. Collage provided

B. No

B. Two wheeler

B. Owned D. Other

5. Have you availed any loan facilities? A. Yes B. No 6. If yes, then type A. Car loan C. Housing loan

B. Personal Loan D. other

7. Do you have any existing life insurance policy? A. Yes B. No 8. Could you tell us the different types of insurance you have? B. Whole Life insurance B. Term life insurance C. Endowment life insurance D. Unit Linked Insurance Plan (ULIP)

9. What is the premium paying term? A. Less than 5 years; B. 5-10 years; C. 10-15 years; D. Above 15 years. 10. Considering insurance policies you have, what is the cover? A. Less than Rs.100000 B. Rs.100000-300000 C. Rs.300 001-500 000 D. above Rs.500 000 11. Reason for not having life insurance? A. It is too expensive B. It is too hard to understand C. Do not have trust on insurance D. Employer sponsored cover is sufficient Company 12. How long do you think the death cover amount will cover your family? A. Less than 1 year B. 1-3 year C. 4-7 year D. 8-10 year 13. Does your occupation render you susceptible to injury or illness? A. Yes B. No 14. Have you ever suffered from serious medical conditions? A. Yes B. No 15. Do you have any future plans to get insurance? A. Definitely have plans to buy B. Probably have plans C. Probably have no plans D. Definitely have no plans to buy 16. Which life insurance does your agent recommends you? A. Term Insurance B. Whole life Insurance C. Endowment Policy D. Money/Cash back plans E. Children Policies

17. Do you think the recommendation for above mentioned Life Insurance is authentic? A. Yes B. No 18. Do you invest in Insurance Plans for Tax Benefits? A. Yes B. No 19. How are the Insurance Policies of XYZ Life Insurance? A. Highly Satisfactory B. Satisfactory C. Average D. Dissatisfactory 20. How are the returns in life insurance policies? A. Highly Satisfactory B. Satisfactory C. Average D. Dissatisfactory 21. How are the charges in Life Insurance Policies? A. High B. Average C. Low 22. What do you like more in Life Insurance Policies? A. More benefits B. More Security C. others 23. Rate you overall satisfaction? A. High Satisfactory C. Average B. Satisfactory D. Dissatisfactory