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  5. Life Insurance Survey
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Exit Survey
 
 
Name
   
 
 
 
Gender
 
Male
 
Female
 
 
 
Marital Status
 
Single Married
 
 
 
Which region you belong to?
 
 
 
What is your age group?
 
18-25
 
26-34
 
35-50
 
51-64
 
65+
 
 
 
What is your highest level of education?
 
6.1.1. Some high school - did not complete
 
High school graduate or certificate of equivalency
 
Some college - did not complete
 
College degree
 
Graduate work and/or graduate degree
 
 
 
What is your income?
 
Less than 1 Lakh
 
1-2 Lakhs
 
2-3 Lakhs
 
3-4 lakhs
 
Above 4 Lakhs
 
 
 
What is your occupation?
 
Independent Consultants
 
Businessmen
 
Professionals
 
Housewives
 
Students
 
 
 
Do you have a life insurance policy?
 
Yes
 
No
 
If No, Are you willing to purchase it
 
 
Which of the following channels have you used to buy your life insurance policy?
1 2 3 4 5
Insurer’s Website
Online Intermediaries (Policy Bazaar)
Banks
Call centers
Social (Facebook, twitter etc.)