Life Insurance Survey Question Title * 1. Do you currently have life insurance? Yes No I don’t know Question Title * 2. How much do you expect it will cost to handle your final expenses? Question Title * 3. What is the name of your beneficiary? Question Title * 4. What is your budget? Question Title * 5. What is your date of birth? Question Title * 6. Are you employed? Yes No Question Title * 7. If so, what is your occupation? Question Title * 8. What is your favorite hobby? Question Title * 9. What is your full name? Question Title * 10. What is your address? Question Title * 11. What is your phone number? Question Title * 12. What is your relationship to your beneficiary? Done