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To analyse consumer decision making process in

insurance services
By completing this questionnaire you consent to following.
This data will be used in a research project.

1. 1.Name

2. 2.What is your Gender?


Mark only one oval.

Female
Male

3. 3.How old are you?


Mark only one oval.

20-30
30-40
40-50
above 50

4. 4. Which area do you live in?


Mark only one oval.

Rural
Urban

5. 5.What is your occupation?


Mark only one oval.

Government employee
Businessman
Private job
Student
Others
6. 6.What is your Annual Income?
Mark only one oval.

0-5Lacs
5-10 Lacs
10-15 Lacs
15-20 Lacs
Above 20 Lacs

7. 7.Are you Risk Averse?


Mark only one oval.

Yes
No
May be

8. 8.Do you Have an Insurance Policy?


Mark only one oval.

Yes
No

9. 9.What is the main reason for which you would buy an insurance?
Mark only one oval.

Tax
investment
security
forced selling

10. 10.What criteria you use for choosing the insurance company?
Mark only one oval.

Services
trust
publicity
recommendation
agents
characteristics of product

11. 11.How do you prefer to buy an insurance?


Mark only one oval.

Insurance agent
Direct from agency
online
others
12. 12. Services that affect your decision.
Please respond to all.
Mark only one oval per row.

Highly agree Agree Neutral Disagree Highly disagree


The insurance company should
have best interest of customers at
heart
The insurance company available
for assistance
The insurance company should
provide services in timely manner
agents should recommend policy
as per customer needs
Premium rate structure of my Life
Insurer is competitive
Company offices should be
modern
Location of branches of the
insurance company are
convenient.
The insurance agency should fulfill
promises in a timely manner
towards claim settlement.
The company employees are
courteous
The company employees
understand customer needs.
The company should have wide
range of services to offer
The insurance company has
adequate information available on
product and services.
employees should provide
individual attention to customers.
Employees should be sympathetic
with customer's problem
agents should have good
communication skills.
agents should be trustworthy

13. 13. Do you feel more protected having an insurance?


Mark only one oval.

yes
no

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