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You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.

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When was your last health check?
 
A few months ago
 
Last Year
 
I can't recall
 
Never before
 
 
Do you think you are well covered by your employer's medical plan?
 
Yes
 
No
 
I don't know there is such offer
 
 
Do you know the highest cause of death in HK now?
 
Cancer
 
Heart Disease
 
Stroke
 
 
If you are to take out a private medical insurance plan, how would you like to get it from?
 
Online
 
Agent
 
Bank
 
Consultant
 
Phone
 
 
Do you have regular saving habit?
 
Yes
 
No
 
 
Do your parents well covered by insurance?
 
Yes
 
No
 
I don't know
 
 
What type of Insurance Products are you interested? (select all that apply)
 
Medical
 
Personal Accident
 
Life
 
Hospital Income
 
Critical Illness
 
Saving Plan
 
Travel
 
Home Content
 
Domestic Helper
 
Motor

 
Contact Information
* First Name : 
* Last Name : 
* Phone : 
* Email Address : 
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