Yes
No
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1. Do you have collectibles such as antiques, fine art,
stamps, coins, or baseball cards?
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|
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Yes
No
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2. Do you own valuable jewelry or furs?
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Yes
No
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3. Do you own costly sporting equipment or firearms?
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|
|
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Yes
No
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4. Do you have valuable cameras or other photography equipment?
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|
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Yes
No
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5. Do you have any alarms installed in your home?
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|
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Yes
No
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6. Do you keep more than $100 cash in your home?
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Yes
No
|
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7. Are your personal belongings insured for their full
replacement value?
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|
|
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Yes
No
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8. Do you have children away at college? If so, are their
possessions insured?
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Yes
No
|
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9. Do you own tools, equipment, or instruments used in
your trade or profession?
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|
|
|
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Yes
No
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10. Do you operate an office or studio in your home?
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|
|
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Yes
No
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11. Do clients come into your home to make purchases?
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|
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Yes
No
|
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12. Do you baby-sit in your home?
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|
|
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Yes
No
|
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13. Do you have a dog, cat, or other pet that may pose
a risk to others?
|
|
|
|
|
Yes
No
|
|
14. Have you recently remodeled or redecorated your home?
Do you have plans to do so?
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|
|
|
|
Yes
No
|
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15. If your home suffered an entire loss, would your insurance
cover your home's full replacement value?
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|
|
|
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Yes
No
|
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16. Are you interested in flood insurance for your home
and personal property?
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|
|
|
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Yes
No
|
|
17. Are you interested in earthquake coverage?
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|
|
|
|
Yes
No
|
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18. Do you use a wood-burning stove?
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|
|
|
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Yes
No
|
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19. Do you have a swimming pool?
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|
|
|
|
Yes
No
|
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20. Do you own rental or investment property?
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|
|
|
|
Yes
No
|
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21. Do you own a vacation home (i.e. condo, cabin, or trailer)?
|
|
|
|
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Yes
No
|
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22. If you rent, do you carry renters insurance?
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|
|
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Yes
No
|
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23. If you own a condo, do you have condo insurance?
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|
|
|
|
Yes
No
|
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24. Do you plan to purchase a new vehicle this year? If
so, would you like us to provide you with an insurance estimate on the vehicle you are considering?
|
|
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Yes
No
|
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25. Does our agency insure all your vehicles?
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|
|
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Yes
No
|
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26. Does your automobile policy specify by name all of
the drivers in your household?
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|
|
|
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Yes
No
|
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27. Do you routinely use vehicles you do not own?
|
|
|
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Yes
No
|
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28. Do you have CD's, cassette tapes, or non-factory installed
equipment (car phones, stereos, CD players, etc.) in your car? If so, would you
like a quote on insuring these possessions?
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|
|
|
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Yes
No
|
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29. Do you own a vehicle with custom furnishings or equipment
(i.e., a conversion van)?
|
|
|
|
|
Yes
No
|
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30. If your vehicle were damaged in an accident, would
your current automobile insurance reimburse you for a rental vehicle while yours
is being repaired?
|
|
|
|
|
Yes
No
|
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31. Do you own any of the following recreational vehicles?
|
|
|
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Boat
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Camper
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All-Terrain Vehicle
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|
Motor Home
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Golf Cart
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Snowmobile
|
|
Motorcycle
|
Moped
|
Others
|
|
|
|
|
|
Yes
No
|
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32. Do you carry at least a one-million-dollar umbrella
liability policy?
|
|
|
|
|
Yes
No
|
|
33. Do you own a business? If so, do we currently insure
it?
|
|
|
|
|
Yes
No
|
|
34. Do you plan to start a business?
|
|
|
|
|
Yes
No
|
|
35. Do you know anyone else who could benefit from a no-obligation
insurance review from our agency?
|