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QUESTIONNAIRE: BUYER BEHAVIOR OF INSURANCE CONSUMERS

Please read the introductory paragraph before answering the questionnaire

Personal Information

Name: _____________________________________ Age: ________

Male/Female_________

Marital Status ---------------------------------

Household Size --------------------------

No. of Children------------------------------------------------------

Education ----------------------------------------------------

What is the approximate combined annual income of your household?

1. Rs50, 000 or less _____2. Rs.5, 001 to 100,000 _____3. Rs.100, 001 to 150,000 _____6. Rs.150, 001 to 200,000 _____4. Rs.200, 001 to 250,000 _____5. Above Rs.250, 000 _____

Details of Life Insurance Policy (Type, Plan)

--------------------------------------------------------

Total Insurance Cover Amount_______________________________

From which Insurance Company/Companies:____________________________________________________________

If you use multiple Insurance company which you like the most.----------------------------------------------------------------------------------------------------------

Major Insurance plan and amounts of Life Insurance.

Which Source influenced you most for purchasing Insurance Products?Friend--------------------; Insurance Agent-----------------; Advertisement --------------------

Which Advertisement you prefer most for updating your knowledge about insuranceProducts. TV ------------------; Newspaper---------------; Headings------------------; Adthrough Internet-------------------------; If any other please specify -----------------------.

Contact Telephone no. / E-mail address----------------------------------------------------------

(Optional, if you want to know result of the study then please provide or else may ignore)

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Section 1

How do you prefer to choose a new policy to be introduced by a InsuranceCompany?

(Rank following 15 plans (A-O)(1- Very good------------------ 15-Very bad)Alternativeplans

Investment Risk Rate ofReturn

Liquidity LifeInsuranceCoverage

Ranking

A High Medium Early Withoutcoverage

B Medium High Delayed Withoutcoverage

C Medium Low Early Withcoverage

D Medium Medium Delayed Withcoverage

E Low Low Delayed Withoutcoverage

F Low High Early Withcoverage

G High High Delayed Withcoverage

H High Low Delayed Withcoverage

I Low Medium Delayed Withcoverage

J High High Early Withcoverage

K High Medium Early Withcoverage

L Medium High Early Withcoverage

M High High Delayed Withoutcoverage

N Low Medium Early With

coverageO High High Early Without

coverage

Section 2

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Please indicate your degree of agreeness to following life style andattitude statements which is close to your personality by checkingthe most appropriate number. The meaning of the numbers is

specified in the columns above the number.

1= Strongly Disagree. 5=Strongly Agree

1-Strongly

Disagree

2-Disa

ree

5-Strongly

Agree

1. I enjoy in taking risk in my life 1 2 3 4 5

2.I often seek out the advice of my friends regarding which insurance

product to choose

1 2 3 4 5

3.I spend lot of time talking with my friends about insurance

products

1 2 3 4 5

4.My neighbors and friends usually give me good advice on what

insurance products to purchase

1 2 3 4 5

5.I watch advertisements for updating my ideas on insurance

products

1 2 3 4 5

6.A person can save a lot of money by shopping around for bargains 1 2 3 4 5

7.I usually watch the advertisements for announcement of sales 1 2 3 4 5

8.I find myself checking the prices in grocery store even for small

items

1 2 3 4 5

9.My children are most important thing in my life 1 2 3 4 5

10.I try to arrange my home for my childrens convenience 1 2 3 4 5

11.I am an active member of more than one social service

organization

1 2 3 4 5

12.I do volunteer work for a hospital or charitable social organizationon a fairly regular basis

1 2 3 4 5

13.I have full control on my own destiny 1 2 3 4 5

14.Everything is uncertain, who knows what will be my fate in future 1 2 3 4 5

15.I am committed to this place most and I am not going to changemy place of stay in future

1 2 3 4 5

16.I have more self confidence than more people 1 2 3 4 5

17.I am more independent than most people 1 2 3 4 5

18.I like to be considered a leader 1 2 3 4 5

19.I am loyal towards my preferred insurance company 1 2 3 4 5

20.I always seek information about other insurance companys

products and services

1 2 3 4 5

21.If I will decide to purchase other insurance products, I will

definitely purchase from my current insurance company

1 2 3 4 5

22.I strongly believe in god 1 2 3 4 5

23.I respect my own religion most 1 2 3 4 5

24.I can express myself fully in stressful situation 1 2 3 4 5

25.I always preferred to be in crowd and parties 1 2 3 4 5

26. I feel suffocated whenever I am kept for a long time in small

groups and quiet.

1 2 3 4 5

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27.Five years from now my income will be probably a lot higher than

it now

1 2 3 4 5

28.I consume more low calorie foods than the average human being 1 2 3 4 5

29.I always prefer to consume diet foods at least one meal a day 1 2 3 4 5

30.In general, I prefer to consume more calorie fast food 1 2 3 4 5

31.Our family income is high enough to satisfy nearly all of myimportant desires

1 2 3 4 5

32.My income is high enough 1 2 3 4 5

33.I often try new brands before my friends and neighbors do 1 2 3 4 5

34.I always like to try new and different products 1 2 3 4 5

----Thank you very much for taking the time to participate in the survey ----

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