WAY TO WEALTH

PLEASE, ANSWER THE QUESTIONS

1/7

Are you a smoker or non smoker?

Smoker

Non smoker

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2/7

Are you employed or non employed

Employed

Unemployed

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3/7

How soon are you looking to make a decision?

Please select relevant answer

As soon as possible(even today)

Within 30 days

Within 60 - 90 days

I don’t know

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4/7

What type of insurance are you interested in?

You can select multiple options

Health

Life

Business Liability

Home

A mix

All of the above

I don’t know(Please, advise)

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5/7

Do you currently have insurance coverage?

Yes

No

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6/7

Are you the primary decision maker for insurance coverage?

Yes

No

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7/7

Do you have preexisting health conditions ?

Yes

No

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