Survey · Market research

Insurance questionnaire template

Asks personal and business clients different questions, so a family never sees a question about employees. Anyone already insured is asked for their current provider and renewal date, and people who need cover within a week land on their own ending so the team can call them first.

15 questions~4 min to answer3 branches2 endings
insurance questionnaireinsurance needs assessmentinsurance intakeinsurance agentlead qualification
Use this template

Try it live

Try it as a respondent

Every question, and where it leads

The conversation

What a respondent is asked, in order.

Hi! A few questions so our adviser understands what you need before you talk. It takes about three minutes.

1

Who is the cover for?

Single select · requiredsplits the flow
2

Which kinds of cover would you like to talk about?

Multi select · requiredif cover for is Me or my family
3

Who is in your household?

Dropdown · requiredif cover for is Me or my family
4

Has anything changed recently that prompted this?

Single select · requiredif cover for is Me or my family
5

What does your business do?

Short text · requiredif cover for is My business
6

How many people work in the business, including you?

Number · requiredif cover for is My business
7

Which kinds of business cover would you like to talk about?

Multi select · requiredif cover for is My business
8

Do you have any of this cover already?

Yes / No · requiredsplits the flow
9

Who is it with, and what does it cover? A rough description is fine.

Long text · requiredif currently insured is Yes
10

When does your current policy renew or end?

Date · optionalif currently insured is Yes
11

Rank what matters most to you in a policy.

Ranking · requiredif currently insured is No
12

Is there anything else the adviser should know before you talk?

Long text · optional
13

How can the adviser reach you?

Contact info · required
14

Before you send this

Consent · required
15

Last one: how soon do you need cover in place?

Single select · requiredsplits the flow

Endings

Thanks, we have everything we need

Got it, we'll call you first ⏱️

The flow

Where each answer leads. Every route here is editable once the form is yours.

A labelled route is taken only by answers matching the label

What this template uses

  • Single select
  • Multi select
  • Dropdown
  • Short text
  • Number
  • Yes / No
  • Long text
  • Date
  • Ranking
  • Contact info
  • Consent
  • 5 branches
  • 2 endings

Questions to consider

  • Which lines of cover do you actually offer? Remove any option you can't help with.
  • What does your adviser need to prepare before a first call, and is every question here earning its place?
  • Does your regulator or company require specific wording in the consent statement?
  • Who picks up the urgent responses, and how fast can they call back?

How to use the responses

Call the urgent responses first; they are the people whose cover is about to lapse or who need something in place this week. For everyone else, sort by renewal date so you contact people a few weeks before their policy ends, when they are most open to a review. Read the ranking before the call so you lead with what the client cares about, whether that is price or broader cover. Have your compliance team approve the questions and consent wording, and give any recommendation or quote through your usual process.

How to customize and share it

  1. 1Trim the cover options to the products you offer, and rename them to match your own policy names.
  2. 2Have compliance review the consent text, then add your company name to it.
  3. 3Put the link on your website's contact page, or send it ahead of a booked review so the call starts with the facts.

Frequently asked questions

What should an insurance questionnaire ask?

Who the cover is for, which types they want, what they already have and when it renews, what matters most to them, and how to reach them. Personal and business clients need different questions, so branch between them.

Is an insurance questionnaire the same as a quote request?

No. A questionnaire gathers needs and background before a conversation. A quote needs detailed information about a specific policy and is handled through the insurer's own process.

Do I need a consent question on an insurance form?

It is good practice to get clear permission before contacting someone about financial products. Check the exact wording with your compliance team.

Can I send urgent enquiries somewhere different?

Yes. This template sends anyone who needs cover within a week to a separate ending, and you can filter for those responses in the dashboard.

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