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39608005 Questionnaire

39608005 Questionnaire

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Published by Jagteshwar Singh

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Published by: Jagteshwar Singh on Nov 08, 2010
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11/08/2010

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QUESTIONNAIRE Penetration level in Mumbai city by Insurance organizations Dear Sir/Madam, We are conducting a survey on Penetration level

in Mumbai city by Insurance organizations. We hope for your kind coordination. Any information provided by you will be treated as Confidential and will not be disclose for any other purposes. Name: Address: Marital Status: - Married/ Unmarried (3mark) Sex: - M / F (3mark) Profession: E-mail: Age: Mob No:

1. Family Members: (Please tick) a)1-4 d) 12-16 [ ] [ ] b) 4-8 e) 16> [ ] [ ] c) 8-12 [ ]

2. Number of dependent family members: (Please Tick) a) 1-2 d) 6-8 [ ] [ ] b) 2-4 [ ] c) 4-6 [ ]

e) More: ««««««««««

3. Occupation: (Please Tick) a) Service [ ] b) Business [ ] c) Professional [ ]

b) d) Any other: «««««««««««««««...

Do you have any Insurance policy in the Following companies? (Please Tick) a) LIC c) ICICI [ ] [ ] b) Tata AIG [ ] c) Birla Sun life f) Any Other: «««« [ ] e) Max New York [ ] 9. Annual Income: (Please Tick) a) 50000-100000 c) 500000-1000000 [ ] [ ] b) 100000-300000 e) 1000000 [ ] c) 300000-500000 [ ] [ ] 5. Which type of policy do you prefer? (Please Tick) a) Life Insurance d) Medi claim [ ] [ ] b) Vehicle Insurance [ ] c) Pension plan e) Any Other: «««««««« [ ] . Which sector do you prefer? (Please Tick) a) Public Sector b) Private Players [ ] [ ] 8. Do you have any insurance policy? (Please Tick) a) Yes [ ] b) No [ ] 7.4. In which would you like to invest? (Please Tick) a) Fixed deposit d) Share buying [ ] [ ] b) Post office e) Insurance policy [ ] [ ] c) Mutual fund [ ] 6.

.« ««««««««««««««««««««««««««««««........... Mouth of spread 11 Are you satisfy with the plans of these companies? a.. News paper b........ Yes b..«««« ««««««««««««««««««««««««««««««««««««««.««««.... Thank you.... . Agent c....10 How do you come to know about these company products? a. No Any Comments: «««««««««««««««.. Date: «««««««««««««««.... for your kind co-operation...... Advertisement d...... Signature: «««««««««««««.««««««««««««.......

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