Have you been affected? Answer the following questions which best suits your life insurance and if you score below 15 then this indicates you are in the alarming 80% category!




Your Details:  
Title
First Name
Surname
Date Of Birth
Gender
Home Number
Mobile Number
Email Address
Home Address
Postcode
Marital status
Smoker status
General state of health
Employment Status
Living Status
Current Policy Details:  
Insurance provider name
Term / WOL insurance
Monthly premium
Life Cover amount
Critical illness Cover amount
Level, Decreasing, index
Reason for taking out policy