DHRAMSINH DESAI INSTITUTE OF COMMERCE

PERSONAL PROFILE
1

Name :
Address:
E-mail:
Phone no:
Age gorup:

Gender:
Education:

Qualification:

Occupation:

Area

2
3

5
6

Monthly income of respondent?

(a)Up to 10000
(c)25001 TO 50000
type of respondent family ?
(a)Joint
Which things you prefer from the following for investing in your savings?
(a)Bank
(c)Own business
(e)Post office
Which insurance company is known to you?
(a)LIC
(c)Other (if other Please specify name here )
have you purchased any?
(a)Yes
Which of the following plan have been purchased by you?
(a)Insurance plan
(c)Unit linked insurance
(e)Whole life plan
please mention the name of company from which you have purchased the p

10

11

12
13
14
15
16
17
18
19

20

21
22

(a)LIC
(c)ICICI
(e)TATA AIG
(g)Reliance
(i)ING Life insurance
(k)Other (if other please specify
Premium payment type by you?
(a)Monthly
(c)Half yearly
Please mention the mode of payment for premium ?
(a)On line
(c)Through agent
who motivated you to invest in insurance?
(a)Trust
(c)Higher return after maturity
what was the Objective to purchase Insurance?
(a)Future Investment
(c)Long term benefit
Did your agent give all related information at the time of buying of policy?
(a)Yes
Did your agent inform about better and new product/ insurance/plan?
(a)Yes
are you Satisfy with the existing insurance policy?
(a)Yes
Did you find better product than you purchased?
(a)Yes
Did you find insurance policy similar to you purchased but premium was less
(a)Yes
Did your agent inform about premium dates?
(a)Yes
By whom premium is paid?
(a)Agent
Did you felt that information provided by agent was not enough?
(a) strongly Agree
(c) agree
Did you feel that you could have purchased better policy?
(a) strongly Agree
(c) agree
Did you ever claim? ()
(a)Yes
Satisfication level with existing insurance give ratings?
(a)Very dissatidfied
(c)Moderately satisfied

H DESAI INSTITUTE OF COMMERCE

PERSONAL PROFILE

(a)below 18
(b) 18-25
(c) 25-50
(d) above 50
(a) Male
(b)Female
(a) Literate
(b) Illiterate
(a)SSC
(b)HSC
(c)Graduate
(d)post graduate/ PHD
(a)Service
(b)Self mployed
(c)Business
(d)House hold
(a)Reral
(b)Urban
(c)Semi urban
(d)Metropolitian

ndent?
(b)10001to 25000
(d)50000 & above

y?

(b)Nuclear
from the following for investing in your savings?
(b)Stock exchange
(d)Insurance
(f)other
ny is known to you?
(b)ICICI Prudential life insurance
specify name here )
?
(b)No
an have been purchased by you?
(b)Pension plan
(d)Term assurance plan
(f) other (please specify....)
e of company from which you have purchased the plan?

(b)HDFC
(d)Birla sun life
(f)Bajaj life insurance
(h)SBI
(j)Aviva india
specify.. )
by you?
(b)Quartely
(d)Yearly
e of payment for premium ?
(b)Physically

vest in insurance?
(b)Good returns and dividends
(d)Good service from agent
to purchase Insurance?
(b)To cover the risk
(d)other (please specify ...)
elated information at the time of buying of policy?
(b)No
out better and new product/ insurance/plan?
(b)No
existing insurance policy?
(b)No
uct than you purchased?
(b)No
olicy similar to you purchased but premium was less?
(b)No
bout premium dates?
(b)No
d?
(b)Your self
tion provided by agent was not enough?
(b)Dis agree
(d) strongly Dis agree
uld have purchased better policy?
(b)Dis agree
(d) strongly Dis agree

(b)No
xisting insurance give ratings?
(b)Dissatiesfied
(d)Satisfied

DHRAMSINH DESAI INSTITUTE OF COMMERCE

PERSONAL PROFILE
1

:
:
:
:

?
(a)
(c)

?
(a)

?
(a)

(c)
(e)

?
(a)
(c) ( )

?
(a)

?
(a)
(c)
(e)

?
(a)
(c)
(e)
(g)
(i) ( )

?
(a)
(c)

?
(a)
(c)

10

?
(a)
(c)

11

?
(a)
(c)

12

?
(a)

13

?
(a)

14

?
(a)

15

?
(a)

16

?
(a)

17

?
(a)

18

?
(a)

19

?
(a)

(c)

20

?
(a)

(c)

21

?
(a)

22

?
(a)

(c)

ESAI INSTITUTE OF COMMERCE

PERSONAL PROFILE

(a)
(b) -
(c) -
(d)
(a)
(b)
(a)
(b)
(a)
(b)
(c)
(d) /
(a)
(b)
(c)
(a)
(b)
(c)

(b)
(d)
(b)

?
(b)
(d)
(f) .........................................
(b)

)
(b)
?
(b)
(d)
(f) ( .............)

 ?
(b)
(d)
(f)
(h)

)
(b)
(d)

?
(b)

(b)
(d)
(b)
(d) ( .............)
?
(b)

?
(b)
(b)

?
(b)

?
(b)

?
(b)
(b)

?
(b)
(d)

?
(b)
(d)

(b)
(b)
(c)

DHRAMSINH DESAI INSTITUTE OF COMMERCE

PERSONAL PROFILE
1

Name ():
Address () :
E-mail( ):
Phone no ( ):
Age gorup (
):

Gender ()
Education ()

Qualification()

Occupation()

Area

2
3

Monthly income of respondent? ( )

(a)Up to 10000
(c)25001 TO 50000
type of respondent ( ?)
(a)Joint
Which things you prefer from the following for investing in your savings?
(
)
(a)Bank
(c)Own business
(e)Postinsurance
office
Which
company is known to you?
( ? )
(a)LIC
(c)Other (if other Please specify name here )
have you purchased any?
(a)Yes

Which of the following plan have been purchased by you?

( ?)
(a)Insurance plan
(c)Unit linked insurance
(e)Whole life plan
please mention the name of company from which you have purchased the plan?
(a)LIC
(c)ICICI
(e)TATA AIG
(g)Reliance

10

11

12
13
14
15
16
17
18
19

(i)ING Life insurance

(k)Other (if other please specify..
Premium payment type by you?( ? )
(a)Monthly
(c)Half yearly
Please mention the mode of payment for premium ? (
(a)On line
(c)Through agent
who motivated you to invest in insurance? ( ? )
(a)Trust
(c)Higher return after maturity

what was the Objective to purchase Insurance? ( ?)

(a)Future Investment
(c)Long
benefit
Did
yourterm
agent
give all related information at the time of buying of policy?
( ?)
Did your agent inform about better and new product/ insurance/plan?
(a)Yes
(
)
(a)Yes
are you Satisfy with the existing insurance policy? (
? )
(a)Yes
Did you find better product than you purchased?
( policy




?)was less?
Did you find insurance
similar
to you
purchased
but
premium
(a)Yes
(
?)
(a)Yes
Did
your agent inform about premium dates?
( ? )
(a)Yes
By whom premium is paid? ( ?)
(a)Agent
Did you felt that information provided by agent was not enough?
( ? )
(a) strongly Agree
(c) agree

20

21
22

Did you feel that you could have purchased better policy?
( ?)
(a) strongly Agree
(c) agree

Did you ever claim? ()

(a)Yes
Satisfication level with existing insurance give ratings? (

(a)Very dissatidfied
(c)Moderately satisfied

AI INSTITUTE OF COMMERCE

ERSONAL PROFILE

(a)below 18
(b) 18-25
(c) 25-50
(d) above 50
(a) Male
(b)Female
(a) Literate
(b) Illiterate
(a)SSC
(b)HSC
(c)Graduate
(d)post graduate/ PHD
(a)Service
(b)Self mployed
(c)Business
(d)House hold
(a)Reral
(b)Urban
(c)Semi urban
(d)Metropolitian

nt? ( )
(b)10001to 25000

(d)50000 & above

?)
(b)Nuclear
m the following for investing in your savings?

)
(b)Stock exchange
(d)Insurance
known to(f)other
you?
? )
(b)ICICI Prudential life insurance
ecify name here )
(b)No

have been purchased by you?

?)
(b)Pension plan
(d)Term assurance plan
(f) other (please specify....)
company from which you have purchased the plan?
(b)HDFC
(d)Birla sun life
(f)Bajaj life insurance

(h)SBI
(j)Aviva india
cify.. )
ou?( ? )
(b)Quartely
(d)Yearly
payment for premium ? ( ?)
(b)Physically
in insurance? ( ? )
(b)Good returns and dividends
(d)Good service from agent

urchase Insurance? ( ?)
(b)To cover the risk
(d)other
(please
...)
ed information
at the
timespecify
of buying
of policy?
?)
better and new product/ insurance/plan?
(b)No

(b)No
ting insurance policy? (
? )

(b)No
han you purchased?



?)was less?
y
similar
to you
purchased
but
premium
(b)No

(b)No
t premium
dates?
? )

(b)No
?)
(b)Your self
provided by agent was not enough?
? )
(b)Dis agree
(d) strongly Dis agree

have purchased better policy?

?)
(b)Dis agree
(d) strongly Dis agree

(b)No
ng insurance give ratings? (
?)

(b)Dissatiesfied
(d)Satisfied