Insurance quote request

Gather comprehensive client information to quickly provide tailored insurance quotes and assess satisfaction.

Hosted by Fraser · 8 questions

Every question in this template

Fraser asks each of these questions on camera, in this order; people answer by tapping, typing or recording.

01
What would you like to insure?
Multiple choice
Fraser says: “So, what would you like us to cover for you?”
My homeMy carHome and car togetherMy life
02
What type of property is it?
Multiple choice
Fraser says: “What type of property are we insuring?”
Detached houseTownhouse or semi-detachedApartment or condoMobile home
03
Any claims in the last five years?
Yes or no
Fraser says: “Have you made any insurance claims in the last five years?”
YesNo
04
Tell us about the claim
Video, voice or text answer
Fraser says: “No bother. Briefly tell me what happened and roughly when it was.”
05
How likely are you to recommend your current insurer?
Score from 0 to 10
Fraser says: “How likely would you be to recommend your current insurer to a friend?”
06
Your contact details
Contact details
Fraser says: “Grand. Where should I send your quote?”
07
How many years have you been driving?
Dropdown
Fraser says: “How many years have you been driving? Roughly is fine.”
Less than one yearOne to two yearsThree to five yearsSix to ten yearsEleven to twenty yearsOver twenty years
08
Your date of birth
Date
Fraser says: “What's your date of birth? It helps us price life cover fairly.”