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* 1. Booking ID (please fill in the 4 digit code provided by your trainer)

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* 2. Your Gender:

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* 3. Your Race :

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* 4. Your Citizenship:

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* 5. Your Age Range:

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* 6. Your Current Family Status:

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* 7. Your Highest Level of Education:

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* 8. Your Annual Household Income Range (Before Taxes):

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* 9. Please CLICK your response to each the following statements:

  Do Not Know True False
Unbundled insurance products refer to life insurance products that provide only protection.
For the same coverage, a whole life plan is more affordable than a term plan.
If you want to have additional insurance protection on top of what MediShield provides, such as treatment in Class A/B1 wards in restructured hospitals or treatment in private hospitals, you may wish to consider purchasing an Integrated Shield Plan.
A free-look period allows you 30 days to review your policy without penalty.
An annuity guarantees fixed payments at regular intervals, for as long as the policyholder lives or for a fixed period of time.

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* 10. How CONFIDENT are you to do each of the following?

  Not Confident A Little Confident Confident Very Confident
Buy insurance, knowing what it is for.
Identify the different types of insurance products.
Assess my insurance needs.
Use the various CPF schemes to meet my needs.
Select suitable insurance products for myself and my dependants.

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