Aside from yourself does anyone rely on you financially? *

Yes — my parents

Yes — my siblings

Yes — my partner / spouse / child

No, I only support myself

How much of your MONTHLY INCOME goes to supporting them? *

Please enter numbers only. Example: 50000

For how many more years do you think they’ll need your financial support? *

Please enter numbers only. Example: 10

If something unexpected happened to you, which any of these still need to be paid? *

Personal loan

Car loan

Mortgage / Housing loan

Credit card balances

Business obligations

None so far

If major illness suddenly required a ₱1,000,000 for treatment, where would you get the money? *

Savings

Investments/Assets

Company Insurance or HMO

Apply for loans (Gov't or relatives)

Raise donations

I have active critical illness insurance

I honestly don't know

Would you prefer having personal insurance that protects you in situations like this? *

Yes, I want peace of mind

I'm good with my selection above

How much do you need monthly to maintain current lifestyle? *

If an illness or disability stopped you from working, how long can your savings cover your lifestyle? *

Less than 1 month

Less than 3 months

Less than 6 months

Less than 1 year

I need help from others

If you have personal insurance, what benefits do you have right now? *

Life + Critical Illness + Disability

Life + Critical Illness

Life + Disability

Life coverage only

I don't have all

First Name *

Last Name *

Email *

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Phone *

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