Yes
No |
|
1. Do you have collectibles such as antiques, fine
art, stamps, coins, or baseball cards? |
| |
|
|
Yes
No |
|
2. Do you own valuable jewelry or furs? |
| |
|
|
Yes
No |
|
3. Do you own costly sporting equipment or firearms? |
| |
|
|
Yes
No |
|
4. Do you have valuable cameras or other photography
equipment? |
| |
|
|
Yes
No |
|
5. Do you have any alarms installed in your home? |
| |
|
|
Yes
No |
|
6. Do you keep more than $100 cash in your home? |
| |
|
|
Yes
No |
|
7. Are your personal belongings insured for their full
replacement value?
|
| |
|
|
Yes
No |
|
8. Do you have children away at college? If so, are
their possessions insured? |
| |
|
|
Yes
No |
|
9. Do you own tools, equipment, or instruments used in
your trade or profession? |
| |
|
|
Yes
No |
|
10. Do you operate an office or studio in your home? |
| |
|
|
Yes
No |
|
11. Do clients come into your home to make purchases? |
| |
|
|
Yes
No |
|
12. Do you baby-sit in your home? |
| |
|
|
Yes
No |
|
13. Do you have a dog, cat, or other pet that may pose
a risk to others?
|
| |
|
|
Yes
No |
|
14. Have you recently remodeled or redecorated your
home? Do you have plans to do so? |
| |
|
|
Yes
No |
|
15. If your home suffered an entire loss, would your
insurance cover your home's full replacement value? |
| |
|
|
Yes
No |
|
16. Are you interested in flood insurance for your
home and personal property? |
| |
|
|
Yes
No |
|
17. Are you interested in earthquake coverage? |
| |
|
|
Yes
No |
|
18. Do you use a wood-burning stove? |
| |
|
|
Yes
No |
|
19. Do you have a swimming pool? |
| |
|
|
Yes
No |
|
20. Do you own rental or investment property? |
| |
|
|
Yes
No |
|
21. Do you own a vacation home (i.e. condo, cabin, or
trailer)? |
| |
|
|
Yes
No |
|
22. If you rent, do you carry renters insurance? |
| |
|
|
Yes
No |
|
23. If you own a condo, do you have condo insurance? |
| |
|
|
Yes
No |
|
24. Do you plan to purchase a new vehicle this year?
If so, would you like us to provide you with an
insurance estimate on the vehicle you are considering? |
| |
|
|
Yes
No |
|
25. Does our agency insure all your vehicles? |
| |
|
|
Yes
No |
|
26. Does your automobile policy specify by name all of
the drivers in your household? |
| |
|
|
Yes
No |
|
27. Do you routinely use vehicles you do not own? |
| |
|
|
Yes
No |
|
28. Do you have CD's, cassette tapes, or non-factory
installed equipment (car phones, stereos, CD players, etc.) in your car? If so,
would you like a quote on insuring these possessions? |
| |
|
|
Yes
No |
|
29. Do you own a vehicle with custom furnishings or
equipment (i.e., a conversion van)? |
| |
|
|
Yes
No |
|
30. If your vehicle were damaged in an accident, would
your current automobile insurance reimburse you for a rental vehicle while
yours is being repaired? |
| |
|
|
Yes
No |
|
31. Do you own any of the following recreational
vehicles? |
| |
|
Boat |
Camper
|
All-Terrain Vehicle |
Motor Home |
Golf Cart
|
Snowmobile |
Motorcycle |
Moped
|
Others
|
|
| |
|
|
Yes
No |
|
32. Do you carry at least a one-million-dollar
umbrella liability policy?
|
| |
|
|
Yes
No |
|
33. Do you own a business? If so, do we currently
insure it? |
| |
|
|
Yes
No |
|
34. Do you plan to start a business? |
| |
|
|
Yes
No |
|
35. Do you know anyone else who could benefit from a
no-obligation insurance review from our agency? |