Template Ideas

Accident and sickness insurance questionnaire

accident and sickness insurance questionnaire

If you run an insurance agency or brokerage, we've got your back! This Accident and Sickness Insurance Questionnaire is tailored just for you.

Whether you're a small startup or a large corporation, you'll find this form a real time-saver. It's designed to help you collect all the vital information for processing accident and sickness insurance requests.

Give it a whirl, and see how it streamlines your workflow!

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Questions to include on your Accident and sickness insurance questionnaire

1. Broker Information

This section will gather general information about the insurance broker who is filling out the form.

  • What is your name?
  • What is your email address?
  • What is your contact number?
  • What is the name of the agency you work for?

2. Client Information

This section is used to gather information about the client who needs the insurance coverage.

  • What is the client's full name?
  • What is the client's date of birth?
  • What is the client's gender? (Male, Female)
  • Does the client use tobacco? (Yes, No)

3. Insurance Details

This section asks about the specifics of the insurance coverage the client is seeking.

  • What type of coverage is the client seeking? (Accident Only, Sickness Only, Both)
  • What is the desired amount of coverage?
  • Does the client have any existing health conditions? If yes, please specify.
  • Has the client had any accidents in the past 5 years? If yes, please provide details.

The questions about existing health conditions and past accidents are crucial as they affect the risk assessment and thus the pricing of the insurance policy.

4. Payment Information

This section collects data about the client's preferred method of payment.

  • How will the client be paying for the insurance? (Credit Card, Debit Card, Check, Bank Transfer)

Including a question about the payment method can help streamline the payment process once the policy is approved.

Things to consider

  1. Clear Instructions - Make sure each question is clear and easy to understand. Ambiguous questions can lead to inaccurate information and slow down the application process.
  2. Form Length - Keep your form as short as possible. Long forms can be intimidating and may discourage brokers from completing them.
  3. Required Fields - Clearly mark required fields. This can help brokers understand what information is absolutely necessary and where they can skip fields if needed.
  4. Data Validation - Utilize HTML5's built-in data validation features to ensure that the input matches the expected format. For example, use the 'email' input type for email addresses, which will ensure that the user submits a properly formatted email address.
  5. Privacy and Security - Ensure the form is secure and that the privacy of the client's data is maintained. It's important to inform users how their data will be used and stored.
  6. User Interface - The form should be easy to navigate. Group related questions together to make the form less tedious and more logical.
  7. Error Handling - Provide clear and helpful error messages. If a user makes a mistake, they should be able to quickly understand what went wrong and how to fix it.

How to create your Accident and sickness insurance questionnaire

Now that you know what questions you should include, it's time to build your form!

The only problem is that traditional forms tools are inefficient.

People will forget to fill out your form. They'll get stuck halfway and not be able to finish it. Or they'll send you the wrong stuff. You end up wasting hours chasing people down over email. 

That's why you should give Content Snare a try. 

Content Snare is packed with advanced features that will have you hours:

  • Automatic reminders - Remind people to complete their form with fully customizable reminders.
  • Reject incorrect information - If a single question is filled out incorrectly, ask your client to re-do just that one item.
  • Autosaving - No progress gets lost. People can fill out forms in multiple sittings.
  • Comments and questions - If the person filling the form gets stuck, they can ask a question without having to email you.

Give it a go by signing up for your free 14-day trial

Get the information you need without chasing people

Content Snare is the stress-free way to get information from anyone. Break free of your inbox and reclaim your time. Let Content Snare chase your clients for you.