Академический Документы
Профессиональный Документы
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* Required
1. Name of Respondent *
2. Age Group? *
Mark only one oval.
18-30
31-40
41-50
51-60
Above 60
3. Gender *
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Male
Female
4. Qualification *
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Below Graduation
Degree Holder (other than professional degree)
Post Graduate (other than professional degree)
Professional Degree holder
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11/1/2019 Awareness, Preferences and Buying pattern of Health Insurance.
5. Occupation *
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Government Service
Private Organization service
Practicing Professional
Self Employed
Student
Others
Yes
No
8. Was there any case of accident/hospitalization to any family member during the last five
years? *
Mark only one oval.
Yes
No
9. If Yes, then what is the most used source of fund for meeting your medical expenses?
Mark only one oval.
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11/1/2019 Awareness, Preferences and Buying pattern of Health Insurance.
Extremely important
Somewhat important
Neutral
Somewhat unimportant
Extremely unimportant
Yes
No
Yes
No
13. How did you get this health insurance Policy? (If you have a Health Insurance policy)
Mark only one oval.
Employer Provides
Own purchase
Family Provides
14. How much premium do you pay annually? (If you have a Health Insurance policy)
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1000- 5000
5001- 10000
10001 – 15000
15001-20000
Above 20000
15. Why did you purchase health insurance plan? (If you have a Health Insurance policy)
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11/1/2019 Awareness, Preferences and Buying pattern of Health Insurance.
16. How well do you think, you are covered by your current Health Insurance policy? (If you have
a Health Insurance policy)
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Definitely well-covered
Probably well-covered
Not well-covered
Probably not well-covered
17. What Are the Reasons for not purchasing Health Insurance? (If you don't have a Health
Insurance policy)
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18. What factors you would consider for purchase of a particular Health Insurance policy in
future? *
Check all that apply.
19. Which according to you is the most important aspect that every health insurance plans should
cover? *
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Hospital care
Preventive care
Maternity
Health specialists
Choice of doctors
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11/1/2019 Awareness, Preferences and Buying pattern of Health Insurance.
20. Rank the important factors you would consider while selecting the health insurance company
(even if you don't have a Health Insurance), rank your of preference from 1-to 10 (where 1 is
for most important factor ) *
Mark only one oval per row.
1 2 3 4 5 6 7 8 9 10
Trustworthiness of the company
Better schemes offered
Existing insurances with the
company
Personal relationships
Easy claim settlement
More coverage of diseases
Low premium cost
Better marketing efforts by agents
Tax savings
Influence of advertisements
21. Kindly rate the following factors (out of 5) important for you in opting Health Insurance (even
if you don't have a Health Insurance), where 5 means very important, 4 means important, 3
means Neutral, 2 means unimportant, 1 means very unimportant. *
Mark only one oval per row.
1 2 3 4 5
Service of Insurer
Network Coverage of Hospital
Premium Amount
Coverage Amount
Coverage of Diseases
Number of claims allowed per
year
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