HNBA Survey

We request that you kindly fill out this short survey in order for us to send you more relevant information. Help us, to help you!

What is your Gender?

Male

Female

Please enter your age

Please enter your Province

Please enter your email address

5. Are you an Insurance Policyholder? If you have any type of Insurance (ie: Life or General Insurance), tick Yes.

Yes

No

6. Do you have an Insurance Policy With HNB Assurance (If Yes, go to Question 7. If no, go to Question 8)

Yes

No

7. Please Tick the policies you have with HNB Assurance (Select all that apply)

8. Do you intend to purchase an Insurance Policy within the next 12 months? (If Yes, go to question 9. If No, go to question 10)

Yes

No

9. Please enter the type of Insurance you Intend to purchase