Questionnaire on Health Insurance

Questionnaire on health insurance

Name

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Address Address

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Phone number : ………………….. Email id

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1) Do you you have have a health health insuranc insurance? e?  Yes  Yes No • •

2) o! much do you care care about havin" havin" a health insurance insurance #olicy? #olicy? $ery much mu ch Not much • •

%) &hat is is your income income #er annum? annum? 2.' la(hs and belo! 2.'' la(hs '1* la(hs 1* la(hs and above • • • •

+) Are you able to smoothly #ay your current current health health insurance #olicy !ith your current annual income?  Yes  Yes ,no! • •

') -y#e o amily amily structu structure? re?  /oint Nuclear • •

0) ave you encountered !ith any ty#e ty#e o health health #roblems #roblems in the #ast?  Yes  Yes No • •

) &hat ty#e o health insurance #olicy do you have? ndividual health insurance #olicy ealth insurance or the !hole amily ealth insurance or s#ouse ealth insurance or ather3mother • • • •

4) &ho #ersuaded you to #urchase #olicy? nsurance o5cials 6elatives 7riends 8thers • • • •

9) Do you rene! your health insurance re"ularly !hen it e#ires?  Yes No ;aybe • • •

1*) • • •

&hich insurance com#any do you #reer? Public com#any Private com#any Any other
11) &hich o the ollo!in" actors do you consider !hile choosin" health insurance? Name and re#utation o insurance com#any Availability o ta bene=ts 7leibility o #olicy o>ered 6eliability o service o>ered • • • •

12) • • • •

o! you !ould li(e to #ay health insurance #remium amount? ;onthly al yearly uarterly  Yearly

1%) @ources rom !hich you have come to (no!n about health insurance?  -v •

• • • •

1+) • • •

1') • • • •

10) • •

7amily 7riends Ne!s#a#er A"ents

o! much satis=ed are you !ith your health insurance? $ery much satis=ed @ome!hat satis=ed Not at all satis=ed &hat ty#e o amount are you !illin" to #ay or health insurance? #to 1**** 1****1'*** 1'***2**** 2**** and above ave you ever claimed health insurance in #ast 12 months?  Yes No

1) 8verallB ho! !ould you rate the Cuality o health care you have received in the last 12 months? Ecellent $ery "ood ood 7air Poor • • • • •

14) Are you satis=ed !ith the time that health insurance ta(e to #rovide you !ith reimbursement? $ery much satis=ed @ome!hat satis=ed Not at all satis=ed • • •

19) o! con=dent are you that i you become seriously ill you !ill "et hi"h Cuality and sae medical care? $ery con=dent @ome!hat con=dent Not to con=dent • • •

2*) • • • •

o! lon" have you been !ithout insurance? % months or less +11 months 8ne or t!o years Never

21) Durin" the last 12 months did you have health insurance A the timeB or !as there a time durin" the year !hen you did not have any health covera"e?  Yes No • •

22) • • •

Do you li(e to #urchase or rene! health insurance #olicy online?  Yes No @ometimes

2%) &hich !ebsites do you use to #urchase or rene! health insurance online? PolicybaFFar Govero 8thers • • •

2+) • • • •

2') • • • •

&ould you li(e to com#are health insurance #olicies?  Yes No @ometimes Al!ays o! li(ely is that you chan"e your health insurance #lans? al!ays 7reCuently @ometimes never