ONLINE INFORMATION SHARING BY POTENTIAL INSURANCE

CUSTOMERS

Investigators: Students of Class XI (Commerce) of Kendriya Vidyalaya, Bambolim

This survey is aimed at understanding the nature of information sharing by potential

customers with insurance companies. We are not asking any personally identifiable
information and you are encouraged to answer as you feel right. Kindly spend a few
minutes to answer the questions below by encircling the most appropriate option.

1. Are you interested in buying life insurance in the near future Yes
No

If yes please answer the following questions

2. What is the level of your usage of the internet?

Very low Low Medium High Very High

3. Assume that you are asked to provide the following information on line by an
insurance company.

Name, Email id, Mobile Number, Age, Bank of your

Credit Card

4. What is your level of willingness to provide all the above information?

Very low Low Medium High Very High

5. Are you worried about the misuse of the above information?

Not at all Slightly Somewhat Much Very

Much

6. Are you concerned about any disturbance if the above information is

provided?

Not at all Slightly Somewhat Much Very

Much

7. What will be your willingness to give more personal information later?

Very low Low Medium High Very High

8. I think the company should tell me more about their policies first
 Strongly Disagree Disagree Undecided Agree Strongly
Agree

9. Your gender Male Female

10.Your age ___________ Years

11.Your Education Below SSC SSC HSC Graduation Post

Graduation

Thank you very much!!!

ONLINE INFORMATION SHARING BY POTENTIAL INSURANCE

CUSTOMERS

Investigators: Students of Class XI (Commerce) of Kendriya Vidyalaya, Bambolim

This survey is aimed at understanding the nature of information sharing by potential

customers with insurance companies. We are not asking any personally identifiable
information and you are encouraged to answer as you feel right. Kindly spend a few
minutes to answer the questions below by encircling the most appropriate option.

1. Are you interested in buying life insurance in the near future Yes
No

If yes please answer the following questions

2. What is the level of your usage of the internet?

Very low Low Medium High Very High

3. Assume that you are asked to provide the following information on line by an
insurance company.

Name, Email id, Mobile Number, Age,

4. What is your level of willingness to provide all the above information?

Very low Low Medium High Very High

5. Are you worried about the misuse of the above information?

Not at all Slightly Somewhat Much Very

Much

6. Are you concerned about any disturbance if the above information is

provided?
 Not at all Slightly Somewhat Much Very
Much

7. What will be your willingness to give more personal information later?

Very low Low Medium High Very High

8. I think the company should tell me more about their policies first

Strongly Disagree Disagree Undecided Agree Strongly

Agree

9. Your gender Male Female

10.Your age ___________ Years

11.Your Education Below SSC SSC HSC Graduation Post

Graduation

Thank you very much!!!

ONLINE INFORMATION SHARING BY POTENTIAL INSURANCE

CUSTOMERS

Investigators: Students of Class XI (Commerce) of Kendriya Vidyalaya, Bambolim

This survey is aimed at understanding the nature of information sharing by potential

customers with insurance companies. We are not asking any personally identifiable
information and you are encouraged to answer as you feel right. Kindly spend a few
minutes to answer the questions below by encircling the most appropriate option.

1. Are you interested in buying life insurance in the near future Yes
No

If yes please answer the following questions

2. What is the level of your usage of the internet?

Very low Low Medium High Very High

3. Assume that you are asked to provide the following information on line by an
insurance company.

Name, Email id, Mobile Number

4. What is your level of willingness to provide all the above information?

 Very low Low Medium High Very High

5. Are you worried about the misuse of the above information?

Not at all Slightly Somewhat Much Very

Much

6. Are you concerned about any disturbance if the above information is

provided?

Not at all Slightly Somewhat Much Very

Much

7. What will be your willingness to give more personal information later?

Very low Low Medium High Very High

8. I think the company should tell me more about their policies first

Strongly Disagree Disagree Undecided Agree Strongly

Agree

9. Your gender Male Female

10.Your age ___________ Years

11.Your Education Below SSC SSC HSC Graduation Post

Graduation

Thank you very much!!!

ONLINE INFORMATION SHARING BY POTENTIAL INSURANCE

CUSTOMERS

Investigators: Students of Class XI (Commerce) of Kendriya Vidyalaya, Bambolim

This survey is aimed at understanding the nature of information sharing by potential

customers with insurance companies. We are not asking any personally identifiable
information and you are encouraged to answer as you feel right. Kindly spend a few
minutes to answer the questions below by encircling the most appropriate option.

1. Are you interested in buying life insurance in the near future Yes
No

If yes please answer the following questions

2. What is the level of your usage of the internet?

 Very low Low Medium High Very High

3. Assume that you are asked to provide the following information on line by an
insurance company.

Name, Email id

4. What is your level of willingness to provide all the above information?

Very low Low Medium High Very High

5. Are you worried about the misuse of the above information?

Not at all Slightly Somewhat Much Very

Much

6. Are you concerned about any disturbance if the above information is

provided?

Not at all Slightly Somewhat Much Very

Much

7. What will be your willingness to give more personal information later?

Very low Low Medium High Very High

8. I think the company should tell me more about their policies first

Strongly Disagree Disagree Undecided Agree Strongly

Agree

9. Your gender Male Female

10.Your age ___________ Years

11.Your Education Below SSC SSC HSC Graduation Post

Graduation

Thank you very much!!!

ONLINE INFORMATION SHARING BY POTENTIAL INSURANCE

CUSTOMERS

Investigators: Students of Class XI (Commerce) of Kendriya Vidyalaya, Bambolim

This survey is aimed at understanding the nature of information sharing by potential

customers with insurance companies. We are not asking any personally identifiable
information and you are encouraged to answer as you feel right. Kindly spend a few
minutes to answer the questions below by encircling the most appropriate option.

1. Are you interested in buying life insurance in the near future Yes
No

If yes please answer the following questions

2. What is the level of your usage of the internet?

Very low Low Medium High Very High

3. Assume that you are asked to provide the following information on line by an
insurance company.

Name, Mobile Number

4. What is your level of willingness to provide all the above information?

Very low Low Medium High Very High

5. Are you worried about the misuse of the above information?

Not at all Slightly Somewhat Much Very

Much

6. Are you concerned about any disturbance if the above information is

provided?

Not at all Slightly Somewhat Much Very

Much

7. What will be your willingness to give more personal information later?

Very low Low Medium High Very High

8. I think the company should tell me more about their policies first

Strongly Disagree Disagree Undecided Agree Strongly

Agree

9. Your gender Male Female

10.Your age ___________ Years

11.Your Education Below SSC SSC HSC Graduation Post

Graduation
Thank you very much!!!