QUESTIONNAIRE:

CUSTOMER BUYING BEHAVIOUR IN BUYING HEALTH INSURANCE POLICY:

1) Mention Your Age:
a) < 30
b) >30 to 45 to < 60
d) > 60

2) Type of Your Employment:
a) Government Job
b) Public Sector Job
c) Private Sector Job
d) Own business
e) Please Specify Others……………………

3) Mention Your Occupation: a) Doctor b) Engineer c) Academician d) Businessman e) Agent (Broker) d) Technician f) Politician g) Please Specify Others……………….

4) Please Mention Your Total (Gross) Annual Household Income:
a) 1000000

5) Do You Presently Have any Health Insurance Policy For Any of Your Family Member?
a) If Yes! (Continue With the Following Questions)
b) If No! (Straight Way Go To Question No. 14 on Next Page)

If Yes……..

6) Details of Your Health Insurance Policy (You Can Tick More Than One Potion):

Premium paid by Annual Premium amount Coverage Amount
a) Me ------------------ -----------------
b) Employer ------------------ -----------------
c) Or! My Employer Provides Free Medical Treatment For All of My Dependents.--------

7) For Whom You Purchased Your Current Health Insurance Policy:
a) Only For Me
b) Only For My Wife
c) Me and My Wife
d) For All My Dependents (Including My Parents)
e) If For Others Also (Please Specify)……………………..

8) Why Have You Purchased Your Current Health Insurance Policy?
a) For Tax Benefits
b) For Health Security
c) For Other Purpose (Please Specify)…………………….

8) While Buying Your Current Health Insurance Policy; your Decision Was Influenced By? a) Own Decision b) Family b) Friends & Colleagues c) Neighbors d) Professional & Trade union Groups e) Brand & Advertisement

9) Which One Of The Following Factor Motivated You to Purchase Your Current Health Insurance Policy (You Can Tick More Than One Potion)?

a) Good Treatment In Case Of Any Disease b) Financial Stability c) Known History of Family Disease. d) All of The Above

10) Kindly Rate The Following Factors Important To You In Opting Health Insurance
(1- For Least Important & 5 – For Most Important)

a) Policy Scheme 1 2 3 4 5 b) Service of Insurer ( ) ( ) ( ) ( ) ( ) c) Reliability Insurer ( ) ( ) ( ) ( ) ( )
d) Network Coverage of Hospital ( ) ( ) ( ) ( ) ( )
e) Premium Amount ( ) ( ) ( ) ( ) ( )
f) Coverage Amount ( ) ( ) ( ) ( ) ( )
g) Coverage of Diseases ( ) ( ) ( ) ( ) ( )
h) Number of claims allowed per year ( ) ( ) ( ) ( ) ( )

11) Please Tell Us; How Well Do You Think, You Are Covered By Your Current Health Insurance Policy?
a) Definitely well-covered b) Probably well-covered c) Not well-covered d) Probably not well-covered e) Definitely not well-covered

12) How Will You Prefer to Buy Health Insurance Policy?

a) Through Broker (Multiple Company Broker) b) Through Direct Representative of Insurance Company c) Please Specify Others……

13) Your Experience With Your Current Health Insurance Company: a) Name of the Insurance Company………………………… b) Customer Service (Excellent………Good………Bad………..Poor……..) c) Claim Refund…. (Very Satisfied………Satisfied……..Not Much Satisfied………..Dissatisfied……….) d) Complain Addressable System… (Very Satisfied………Satisfied……..Not Much Satisfied………..Dissatisfied……….)
f) Role of TPA
(Very Satisfied………Satisfied……..Not Much Satisfied………..Dissatisfied……….)

****************

If No……………

14) What Are The Reasons, You Do Not Have Any Health Insurance (You Can Tick More Than One Potion)?

a) It's Too Expensive b) Insurance Is Not Important, No Reason To Get It c) It Is Too Hard To Understand/Confusing e) I Do Not Have Trust On Insurance Companies f) Employer Sponsored Cover Is Sufficient For Me g) Do Not Know k) All of Them l) Please Specify Others…………………………….

15) Please Tell Us If You Have Any Plans To Get Health Insurance Policy: a) Definitely have plans to buy…With In 1 Year………2 Year………3 Year……… b) Probably have plans to buy… With In 1 Year………2 Year………3 Year……… c) Probably have no plans to buy With In 1 Year………2 Year………3 Year……… e) Definitely have no plans to buy In near future. d) Any other; please specify with probable time……….