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Critical Illness Insurance Comparison Quote
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Great lets get started, what's your first name?
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2
And your surname?
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3
What's your date of birth?
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You age will affect the premiums you pay
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Date
Year
Month
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4
What level of sum insured are you looking for?
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The level of cover you select will effect the premiums you pay
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5
How many years do want cover for in years
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6
Is Your Cover To Protect:
Your Mortgage
Your Family
Your Business
Other
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7
What's your occupation?
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8
Have you smoked or used tobacco products in the last 12 months?
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Yes
No
Yes
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9
Do You Want To Compare Your Current Critical Illness Insurance Policy?
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10
Whats The name Of Your Insurance Provider?
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11
What was the Month and Year Your Policy Commenced>
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12
Do You Want To Insure A Second Life?
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13
Full Name of Second Life?
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Your name helps us personalise your quote
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14
Date of Birth of Second Life
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15
Occupation of Second Life?
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16
Have you smoked or used tobacco products in the last 12 months?
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Yes
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Yes
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17
Do you have any health disclosures that you wish to let us know about?
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This will help provide a more accurate quote, if non we will provide your quotes at standard rates and review with you again if you decide to proceed with an application
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18
E-mail
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We will send your quotes to your best email address
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