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Insurance

Just like any other industry, the insurance providers are looking for the most efficient method of collecting customer feedback on their services. With our survey samples, you can easily and quickly create a compelling survey questionnaire to collect the views of your customers. The various survey samples on our website will offer you insight on the best way to design and create a survey questionnaire in the insurance sector.

Insurance Agent Evaluation

Are you an insurance service provider? It is important for you to evaluate the performance of your agents in the field. To know this, you can use these sample questions to formulate a survey targeting your clients. With such a survey, you will gain insight on how satisfied the clients are with the services offered by your agents.

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Insurance Customer Feedback

As insurance service providers, it is vital that you know how satisfied or dissatisfied your customers are with the services you provide. With regular feedback from the customers, you will be in a position to improve your service delivery. This sample template is designed by the professionals to help you create the best survey possible.

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Health Insurance

This is one of the important services offered by insurance providers. As such, it is important that you interview your customers or even the potential customers regarding your health insurance plan. This sample can help you get such information as the type of health coverage they have or would like to have, how satisfied they are with the plan, why they opted for such a plan and who pays for their insurance. Additionally, you will also get information regarding why some people do not have health insurance.

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Life Insurance

This is another insurance service you are probably offering. This survey can help you get feedback from your customers on the life insurance plans you offer, hence help you better your service offering in this category.

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Health Practices Insurance

This type of questionnaire is meant to be filled by the various health institutions. The questions here can help you get information on how the institutions handle the different health insurance plans. For instance, you will get to learn whether the institution bills patient insurance, or how insurance coverage by the company affects decision-making by the institution in patient care.

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Income Effect On Buying Insurance Policy

The Effect of Social and Demographic Factors on Life Insurance Demand. life insurance demand is influenced by various economic, institutional, social, and demographic factors. The aim of this survey is to analyze social and demographic determinants of life insurance consumption

Preview Survey

Income effect on buying Insurance policy

1.	Which sources of information do you use when choosing an insurance agent?
	Internet
	Other (please specify)
	Insurance brokers
	Family or friend recommendations
	Association or club recommendations
	Insurance rating agencies (e.g., A. M. Best)

2.	Which source of information do you find most helpful when choosing an insurance agent?
	Internet
	Other (please specify)
	Insurance broker
	Family or friend recommendation
	Insurance rating agency (e.g., A. M. Best)
	Association or club recommendation

3.	Are you satisfied, dissatisfied, or neither satisfied nor dissatisfied with your automobile insurance agent?
	Neither satisfied nor dissatisfied
	Slightly satisfied
	Moderately satisfied
	Extremely satisfied
	Extremely dissatisfied
	Moderately dissatisfied
	Slightly dissatisfied

5.	How likely are you to continue using our business in the future?
	Not at all likely
	Moderately likely
	Slightly likely
	Quite likely
	Extremely likely

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Prefer not to answer
I am treated with courtesy by all employees.
staff answered all my questions.
I trust that employees are looking out for my best interests.
insurance options meets my various insurance needs.

7.	Please rate the level of performance staff achieve in each area of service:
	Helpfulness
	Friendliness
	Knowledge
	Speediness
	Being Professional
	Overall Service

9.
	Very Satisfied
	Satisfied
	Neutral
	Dissatisfied
	Very Dissatisfied

10.	Finally, we would like to know if you have any comments that you think should be aware of. If so, please explain in the text box below:

1.	Which of the following types of insurance do you currently have?
	Other
	HomeRenter's
	Credit
	Mortgage
	Property
	Pet
	Business
	Disability
	Health
	Casualty
	Liability
	Life
	Automobile
	Long-term care

2.	Which type of insurance is most important to you?
	Other
	Renter's
	Property
	Business
	Credit
	Liability
	Mortgage
	Home
	Health
	Pet
	Life
	Disability
	Long-term care
	Casualty
	Automobile

3.	How much did you spend, in U.S. dollars, last month on automobile insurance?

8.	During the call I was given enough information about the product which allowed me to make an informed decision to take out the policy:
	Strongly Agree
	Agree
	Disagree
	Strongly Disagree

9.	During the sales call my question(s) were answered satisfactorily:
	Strongly Agree
	Agree
	Disagree
	Strongly Disagree

10.	The sales call was conducted in a friendly and courteous manner:
	Strongly Agree
	Agree
	Disagree
	Strongly Disagree

1.	Do you currently have health insurance, or not?
	No, I do not
	Yes, I do

3.	Who pays for your health insurance?
	Other
	Self funded
	State government
	Former employer
	Current employer
	National government
	Local government

4.	Which of the following services are covered, in total or in part, by your health insurance plan(s)?
	Maternity care
	Vision services
	Inpatient substance abuse detoxification
	Prescription drugs
	Infertility treatment
	Outpatient substance abuse rehabilitation
	Emergency room visits
	Inpatient mental healthcare
	Gynecological exams and services
	Durable medical equipment
	Hospital room and board
	Organ and tissue transplantation
	Inpatient substance abuse rehabilitation
	Outpatient mental healthcare
	Physical therapy
	Diabetes care management
	Dental services
	Ambulance services
	Prosthetics
	Sterilization
	Kidney dialysis
	Physician office visits

8.	What type of health insurance coverage do you carry?
	Self-purchased
	Other
	Medicare
	Medicaid or State provided
	Employer provided

9.	What is the MAIN reason you do not have health insurance?
	Other
	Can't afford dependent coverage.
	Can't afford to purchase health insurance.
	Employer does not provide health insurance.

2.	Were you without health insurance for any amount of time in the past 12 months, or not?
	No, I was not
	Yes, I was

5.	Why do you currently not have health insurance?
	Other
	Dissatisfied with previous insurance plan or provider
	Do not believe in insurance
	Not eligible for employer-paid insurance
	Cannot afford insurance
	Insurance company refused coverage for health reasons
	Do not need insurance
	Employer does not pay for insurance

6.	How physically healthy are you?
	Moderately healthy
	Very healthy
	Extremely healthy
	Slightly healthy
	Not at all healthy

7.	How important is exercise to you?
	Not at all important
	Slightly important
	Moderately important
	Very important
	Extremely important

10.	Do you receive routine physical examinations or health check-ups?
	No
	Yes (go to question 8)

5.	Could you tell us all the different types of insurance you currently have?
	Life insurance
	Term Insurance
	Endowment Insurance
	Critical illness
	Whole-life insurance
	Money back insurance
	Unit-linked insurance
	Mortgage protection insurance
	Retirement plans
	Medical/Health insurance
	Personal accident insurance
	Auto/Car insurance
	Travel insurance
	All of them

6.	Now, thinking of all the personal insurance policies you currently have, how much in total are you covered for death cover only?
	Less than 50,000 $
	50,001-100,000 $
	100,001-300,000 $
	300,001-500,000 $
	500,001-750,000 $
	750,001-10,00,000 $
	10,00,001-15,00,000 $
	Do not know/can’t recall $

7.	What are the reasons why you do not own any insurance (besides those bought by your employer)?
	It's too expensive
	Insurance is not important, no reason to get it
	It is not necessary or worth doing
	It is too hard to understand/confusing
	I do not trust insurance companies
	It is too much hassle to get
	It is not worth of good value
	Employer sponsored cover is sufficient for me
	Insurance is not worth investing
	I am well-covered by my Employer
	do not know
	All of them
	Other, please specify:

8.	Please tell us how well do you think you are covered?
	Definitely well-covered
	Probably well-covered
	May or may not be well-covered
	Probably not well-covered
	Definitely not well-covered

9.	How long do you think the death cover amount will cover your family/ beneficiaries?
	Less than one year
	1-3 years
	4-7 years
	8-10 years
	11-15 years
	More than 15 years
	do not know/can't recall

10.	Please tell us if you have any plans to get insurance?
	Definitely have plans to buy
	Probably have plans to buy
	May/May not have plans to buy
	Probably have no plans to buy
	Definitely have no plans to buy

2.	Does your office participate in HMO or preferred provider programs?
	Yes
	No

3.	Do you discuss insurance coverage for specific services with your patients prior to providing treatment?
	Yes
	No

4.	How much do insurance company coverage determinations affect your decision-making in patient care?
	Great Deal
	Somewhat
	Very Little
	Not at All

5.	How often have you personally dealt directly with an insurance company to get specific treatments or services covered for a patient?
	Often
	Sometimes
	Rarely
	Never

6.	How often do you determine what the patient's insurance will cover prior to planning the course of treatment?
	Often
	Sometimes
	Rarely
	Never

7.	How much do you feel insurance providers' determinations infringe upon your decision-making for patient treatment?
	Great Deal
	Somewhat
	Very Little
	Not at All

8.	How much do you think insurance providers' determinations have affected how your patients approach their medical care?
	Great Deal
	Somewhat
	Very Little
	Not at All
	What is your profession?
	General Practice Physician
	Medical Specialty Physician
	Physician's Assistant
	Nurse Practitioner
	General Dentistry
	Dental Specialty
	Other:

7.	What issues mostly do you consider it in your way of not buying a life insurance policy if there is any?

8.	Kindly Specify in the below table if you have any comment you would like to add: