Beruflich Dokumente
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Questionnaire
Dear Respondent,
This survey is being conducted to know your awareness, perception and willingness to
pay for health insurance. The whole questionnaire is divided into three parts: Part A for
General Information, Part B for health insurance policy holders and Part C for non health
insurance policy holders. The information provided by you will be kept confidential and
will be used for academic purpose only.
Ruchita,
Research Scholar
Deptt. of Commerce and Business Management
Guru Nanak Dev University
Amritsar
a. Male
b. Female
4. Age:
a. Less than 30 years
b. 30-40 years
c. 40-50 years
d. Above 50 years
5. Marital status:
a. Single
b. Married
6. Type of family:
a. Joint
b. Nuclear
7. Education:
a. Illiterate
b. Primary
c. Middle
d. Matric
e. Higher secondary
f. Graduation
g. Post graduation
h. Vocational
i. Other (specify)
Annexure
8. Occupation
a. Employed
b. Self employed
c. Labour
d. Housewife
e. Unemployed
f. Professional
h. Retired
b. 50000-100000
d. 150000-200000
e. Above 200000
c. 100000-150000
b. No
If yes, then provide the answer for Part-B and if No, then provide the answer for
Part-C
Part-B. For Health Insurance Policy Holder
11. Who is your insurer?
a. Public Company
b. Private company
d. Other (specify)
13. What are the reasons for going in for health insurance policy? Rank from the
following in the order of priority assigning 1 to most important and 6 to the least
important?
a. Tax planning measure
b. Travelling abroad
c. Employers contribution
d. Existing illness
b. Relatives
c. Friends
d. Advertisement
ii
f. Colleagues
g. yourself
h. Other (specify) _
16. Do you agree that the services provided by the insurance companies are delivered
effectively?
a. Yes
b. No
c. Indifferent
17. What is the chance of renewing the service after the expiry of present insurance
policy?
a.100%
b. 50%
c. 25%
d. 0%
18. Are you willing to pay more for additional services, which can be included in your
health insurance package?
a. Yes
b. No
19. Do you think the promotional efforts being taken by insurance company are
sufficient?
a. Yes
b. No
20. How the awareness of health insurance can be increased? Rank the following by
assigning 1 to most effective way of enhancing awareness and 10 to least effective way
of enhancing awareness.
a. Newspapers
b. Conference and Seminars
c. Incentives to policy holders
d. Renewal notice by insurance companies
e. Advertisement
f. Sponsoring event by insurance companies
g. Internet (World Wide Web)
h. Road shows, fare & festivals
i Introducing saving linked insurance
j. Making health insurance mandatory
3
33
21. Which of the following factors did you consider being the most important while
choosing your insurance policy? Please give the response for following statements on
five point Likerts Scale ranging from Strongly Agree to Strongly Disagree:
Note: - SA Strongly Agree, A Agree, I Indifferent, D Disagree, SD Strongly
Disagree.
Statements
SA A
SD
22. How far do you agree with following points about Insurance providers?
Public Company
More safe
Private Company
Both
[ ]
[ ]
[ ]
High Advertisement
[ ]
[ ]
[ ]
Better Services
[ ]
23. Have you ever logged claim with the insurance company?
a. Yes
b. No
24. If yes, how would you rate the following factors? Please give your response on five
point Likerts Scale ranging from Strongly Agree to Strongly Disagree:
Note: - SA Strongly Agree, A Agree, I Indifferent, D Disagree, SD Strongly
Disagree.
Statements
SA A
5
5
SD
25. Which of the following mode you have resorted in case of partial or no settlement of
health insurance claim?
a. Ombudsmen
c. Consumer Court
26. What more you expect in terms of health services and benefits? Also give suggestion
for further improvement?
b. No
b. Newspaper
c. Agents
d. Family
e. Friends
f. Movies
SA
SD
Statements
SA
SD
b. Private company
vii
d. Other (specify)
33. At what age would you ideally prefer to get selves and family insured?
a. 0-25
b. 25-35
c. 35-45
d. 45-55
e. 55-65
f. 65 & Above
34. How you would like to pay health insurance premium amount?
a. Half monthly
b. Monthly
d. Half yearly
e. Yearly
c. Quarterly
8
88
Annexure II
S.No
Abbreviation
Organization
Accord
Accord-Ashwini
AKHS
AP-SPT
Antodaya
Antodaya
AAH
ARY
AYT
ASM
AKS
10
ASSEFA
11
Awareness
Awareness
12
BAIF
13
BASIX
14
BMCF
15
BISWA
16
BUCCS
17
Chaitanya
Chaitanya
18
CAM
19
CASP
20
CHAP
21
COD
22
CYSD
23
DHAN
24
EHA-U
25
EHA-MP
9
9
S.No
Abbreviation
Organization
26
ESAF
27
FF
Freedom Foundation
28
GSGSKK
29
GK
Grameen Kota
30
GNK
31
GMC
32
HFF
33
HALO
34
IMC
35
KKPKP
36
K-SPT
37
Karuna Trust
Karuna Trust
38
Kas Foundation
Kas Foundation
39
Katsurba Hospital
Katsurba Hospital
40
Kodi Trust
Kodi Trust
41
LEAD
42
MT
Mahaseman Trust
43
MF
Mahashakti Foundation
44
MHC
45
MMS
46
MAHE
47
MT
48
MoH&FW-MP
49
MoLE-NSS
50
MoLE-RSBY
51
MSJ&E
52
MT-Hand
53
MT-Art
54
MCHB
Annexure
S.No
Abbreviation
Organization
55
MARI
56
Myrada
Myrada
57
NF-HYD
58
NF-UDA
59
NF-JOD
60
New Life
New Life
61
Nidan
Nidan
62
OASIS
63
ODP
64
PWDS
65
PREM
66
PGB-CU
67
Pragati
Pragati
68
RAHA
69
RDCF
70
RHT
71
RUHSA
72
SKAP
73
Samskar
Samskar
74
SCHS
75
SEWA
76
SHADE
77
SHEPHERD
78
SHGF-K
79
SHGF-TN1
80
SHGF-TN2
81
Sevashram
Sevashram
82
Seva Mandir
Seva Mandir
83
Shanti Dhan
Shanti Dhan
xi
Annexure
S.No
Abbreviation
Organization
84
SKDRDP
85
SPARC
86
SCF
87
SHH
88
SCHCS
89
SKS
90
TAI
91
TNHIT
92
TF
Tribhuvandas Foundation
93
Uplift Health
Uplift Health
94
VHC
Vaatsalya Healthcare
95
VWS
96
VHS
97
WSE
98
WWF
99
YES-T
Yeshasvini Trust
100
YFA
xii