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Questions marked with a * are required Exit Survey
 
 
* Name
   
 
 
 
* Gender
 
male
 
female
 
 
 
contact No.
   
 
 
 
Age group
 
Below 30
 
31-45 years
 
46-60 years
 
60 and above
 
 
 
* Total number of policies bought.
 
one
 
two
 
more than two
 
 
 
Mode of payment
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
Education qualification
 
Undergraduate
 
Graduate
 
Post graduate
 
Doctorate
 
 
 
Occupation
 
Student
 
Service
 
Self-Employed
 
Others
 
 
 
Annual income
 
Below 1 lac
 
1 lac-5 lac
 
5lac-10 lac
 
Above 10 lac
 
 
 
What kind oof Investment do you prefer?
 
Short Term
 
Long Term
 
Both