Community Insurance Profile Survey Insurance and Hello, My name is _______ and I’m doing a short survey on It’s importance in our community. Would you be willing to take it? **Surveyor: Complete this section, and below.** read aloud the definition of “insurance” Community Surveyed:_________________________________________________________ City Location:_________________________________________________________________ Surveyor(s):__________________________________________________________________ Here is the definition of insurance. Insurance is defined as the protection or coverage by contract whereby one party takes on the responsibility of guaranteeing the value of by an unforeseen circumstance or peril. another party’s property against loss 1. Do you agree that the above statement is an □ □ Yes No accurate definition of insurance? 2. □ How important is it to you to have insurance? Not important at all □ Somewhat important □ Important □ Very Important 3. □ □ Do you carry any type of insurance? Yes No 4. □ If yes, which types of insurance do you have? (All Health □ that apply) Dental □ Family (Life/ Universal Life) □ Auto □ Boat □ House □ Loan □ Renter’s 5. If no, please explain why.
Community Insurance Profile Survey Hello, My name is _______ and I’m doing a short survey on Insurance and It’s importance in our community. Would you be willing to take it? **Surveyor: Complete this section, and read aloud the definition of “insurance” below.** Community Surveyed:_________________________________________________________ City Location:_________________________________________________________________ Surveyor(s):__________________________________________________________________ Here is the definition of insurance. Insurance is defined as the protection or coverage by contract whereby one party takes on the responsibility of guaranteeing the value of another party’s property against loss by an unforeseen circumstance or peril. 1. Do you agree that the above statement is an accurate definition of insurance? □ Yes □ No 2. How important is it to you to have insurance? □ Not important at all □ Somewhat important □ Important □ Very Important 3. Do you carry any type of insurance? □ Yes □ No 4. If yes, which types of insurance do you have? (All that apply) □ Health □ Dental □ Family (Life/ Universal Life) □ Auto □ Boat □ House □ Loan □ Renter’s 5. If no, please explain why.
761553_CommunityInsuranceProfileSurvey_Version2.docx