Sample Questionnaire for Insurance

QUESTIONNAIRE FOR INSURANCE POLICY HOLDERS
A) PERSONAL DATA
(Please tick the appropriate answer)

1. Name of Respondent:_________________________________________________

2. Age Group ( Yrs) :  18- 35

 36-50

 50 – 60

 Sr. Citizens

3. Gender:

 Male

 Female

4. Education:

 Under-Graduate

 Graduate

 Service  Professional

 Business.

 Post-Graduate

 Doctorate

5.

Occupation:

CUSTOMER PRFERANCES TOWARDS INSURANCE POLICIES
1.