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11/1/2019 Awareness, Preferences and Buying pattern of Health Insurance.

Awareness, Preferences and Buying pattern of Health


Insurance.
As part of my research thesis at the Dayalbagh Educational Institute, Agra, I am carrying out a research
on “CONSUMER AWARENESS, PREFERENCES AND BUYING PATTERN OF HEALTH INSURANCE”.
I shall be obliged if you spare your valuable time to fill up this questionnaire. This study is purely for
academic purpose and the information provided by you will not be used for any other purpose. Looking
forward for your valuable contribution and thanking you in anticipation.

* Required

1. Name of Respondent *

2. Age Group? *
Mark only one oval.

18-30
31-40
41-50
51-60
Above 60

3. Gender *
Mark only one oval.

Male
Female

4. Qualification *
Mark only one oval.

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 *
Mark only one oval.

Government Service
Private Organization service
Practicing Professional
Self Employed
Student
Others

6. Monthly Income of the Family *


Mark only one oval.

Less than Rs. 5000/-


Rs. 5000-10000/-
Rs. 10000-25000/-
Rs. 25000- 50000/-
Above Rs. 50000/-

7. Are you aware about Health Insurance? *


Mark only one oval.

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.

Free medical service from the Government


Own savings
Paid by employer/company
Health insurance
Others
NA

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11/1/2019 Awareness, Preferences and Buying pattern of Health Insurance.

10. How important do you consider health insurance to be? *


Mark only one oval.

Extremely important
Somewhat important
Neutral
Somewhat unimportant
Extremely unimportant

11. Do you have any Health Insurance Policy? *


Mark only one oval.

Yes
No

12. If yes, do you know benefits of health insurance?


Mark only one oval.

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)
Mark only one oval.

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)
Mark only one oval.

Health Expenses recover


Tax benefits
Recover Future uncertainty
Attractive schemes are available

https://docs.google.com/forms/d/1LCqck2O5KbubqRTFgf9LjH9WgHirtQcIz7AtKwbikAw/edit 3/5
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)
Mark only one oval.

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)
Mark only one oval.

High premiums charged


Poor service provided and coverage
No returns for investment
Alternate sources
Shortage of disposable funds
All of The Above
NA

18. What factors you would consider for purchase of a particular Health Insurance policy in
future? *
Check all that apply.

Recover health Expenses


Tax benefits
Recover Future uncertainty
Attractive schemes are available

19. Which according to you is the most important aspect that every health insurance plans should
cover? *
Mark only one oval.

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

22. Any Suggestions

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