Health Insurance Client Survey

Question Title

* 1. What is your current health insurance status?

Insured

Uninsured

Prefer not to say

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* 2. Are you looking for individual or family insurance coverage?

Individual

Family

Both

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* 3. What aspects of health insurance are most important to you? Select all that apply.

Premium costs

Deductibles

Coverage benefits

Network of hospitals and doctors

Prescription drug coverage

Customer service

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* 4. How often do you visit a healthcare provider?

Rarely (1-2 times a year)

Occasionally (3-6 times a year)

Frequently (7-12 times a year)

Very Often (More than 12 times a year)

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* 5. Do you have ant specific health conditions or ongoing medical needs that require regular care?

Yes

No

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* 6. Please describe any previous experiences with health insurance that have influenced your current search.

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* 7. If you would like to discuss your insurance needs directly, please provide your phone number.

Country Code

Phone number

Ext.