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Dear Respondent, this survey is meant only for Management study purpose.

Your crucial response would help us in understanding Family buying behavior while buying Health Insurance. Kindly spare 10 minutes and answer the questions. You are only required to color the applicable answer box. 1 Kindly mention your age
18-25

26-30 36-40 50-60

31-35 41-50 >60 2 Marital Status Married 3


Type of Your Employment

Single

Widow

Government Job Private Sector Job Please Specify Others

Public Sector Job Own business

Qualification of you and your family Members Professional PG course

10th You Spouse Child1 Child 2 Father Mother 5


Working Members in your Family

12th

Grad

You Spouse Child1 6 Age of your Family Members(Need not be exact)

father Mother Child2

Spouse
Mother

Father Child1

Child2 7
Please Mention Your Total (Gross) Annual Household Income 1L-2L 3L-4L More than 5L 2L-3L 4l-5L

Do You Presently Have any Health Insurance Policy For Any of Your Family Member?

Yes

No

If your answer is no, please answer the questionnaire assuming that you would buy a health Insurance paln. 9
Who took the initiative whether to purchase Health Insurance or not?

Me My Father My Child 10 What factors do you consider before purchasing a Health Insurance Policy? Premium

My Spouse
My Mother

Product features Service

Company Brand and Image Network Hospitals 11 Who in your family did the information search regarding Health Insurance? Me My Father My Child

OPD benefits

My Spouse
My Mother

12 From Where did you(or whoever did information search) seek for the information? Friends n Peers Company Website Internet Company Representative

13 After seeking for information who evaluated the alternatives? Me My Father My Child 14 Who took the final decision in buying the Health Insurance plan Me My Father My Child 15 Did your spouse readily agree with you while you decided to buy Health Insurance? Yes 16 If No what did you do to convince him/her No My Spouse
My Mother

My Spouse
My Mother

17 Which factor influenced you to buy Health Insurance A touching Advertisement A family member's death/disability/health problem A friend's or peer's death/disability/health problem Doctor's Recommendation Forceful selling by Sales person

18 Who finally bought the Health Insurance Policy? Me My Father My Child 19 How much time did you take to buy Health Insurance? 2 Months within a month My Spouse
My Mother

>6 Months 3-6 Months Instantly What steps did you follow to buy health 20 Insurance? 1 2 3 4 5 6 7

Thank you very much for responding

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