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| Name of person filling the form (optional)? | | |
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| Organization is involved in following types of businesses? |
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| If provide other services, then please specify: |
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| Any criteria to choose target customer (clients): |
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| How do you tap your target customers? |
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| What is your customer's primary expectation from you? |
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Rank the preferences with 1 being the highest and 5 being the lowest.
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| Rank the following attributes of a group insurance company, which you consider while choosing a group insurance company for your client. |
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| Reputation in Industry (Brand Name) |
| | | Stability of company |
| | | Service Standards |
| | | Rank in Industry |
| | | Benefits offered |
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| In general, is your company happy with commission in group insurance sector? |
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Choose at most 5 companies from the pull down menu.
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| On an average, which are the 5 best commission payers in the group insurance industry? |
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| Future of brokers in group insurance sector is: |
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| Which will be the most important distribution channel in group insurance sector in next 3 years? |
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| Approximately, what percentage of your revenues are from group insurance? |
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Rank your importance for the five attributes on a scale of 1 to 5.
1- Excellent, 2 = Very good, 3=Good, 4=Fair, 5=Poor.
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If you have ever dealt with Great Pacific Life with regards to group insurance, then please rank it for the following attributes on a scale of 1 to 5.
1- Excellent, 2 = Very good, 3=Good, 4=Fair, 5=Poor.
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If you have ever dealt with United Cocolife with regards to group insurance, then please rank it for the following attributes on a scale of 1 to 5.
1- Excellent, 2 = Very good, 3=Good, 4=Fair, 5=Poor.
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If you have ever dealt with Philam Lif & Gen with regards to group insurance, then please rank it for the following attributes on a scale of 1 to 5.
1- Excellent, 2 = Very good, 3=Good, 4=Fair, 5=Poor.
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If you have ever dealt with Insular Life with regards to group insurance, then please rank it for the following attributes on a scale of 1 to 5.
1- Excellent, 2 = Very good, 3=Good, 4=Fair, 5=Poor.
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If you have ever dealt with Asian Life and Gen with regards to group insurance, then please rank it for the following attributes on a scale of 1 to 5.
1- Excellent, 2 = Very good, 3=Good, 4=Fair, 5=Poor.
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If you have ever dealt with Phil Axa. with regards to group insurance, then please rank it for the following attributes on a scale of 1 to 5.
1- Excellent, 2 = Very good, 3=Good, 4=Fair, 5=Poor.
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If you have ever dealt with Ayala Life with regards to group insurance, then please rank it for the following attributes on a scale of 1 to 5.
1- Excellent, 2 = Very good, 3=Good, 4=Fair, 5=Poor.
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If you have ever dealt with CAP Life with regards to group insurance, then please rank it for the following attributes on a scale of 1 to 5.
1- Excellent, 2 = Very good, 3=Good, 4=Fair, 5=Poor.
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If you have ever dealt with Fortune Life with regards to group insurance, then please rank it for the following attributes on a scale of 1 to 5.
1- Excellent, 2 = Very good, 3=Good, 4=Fair, 5=Poor.
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If you have ever dealt with SunLife with regards to group insurance, then please rank it for the following attributes on a scale of 1 to 5.
1- Excellent, 2 = Very good, 3=Good, 4=Fair, 5=Poor.
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If you have ever dealt with Phil Prudential with regards to group insurance, then please rank it for the following attributes on a scale of 1 to 5.
1- Excellent, 2 = Very good, 3=Good, 4=Fair, 5=Poor.
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