Annabel Quick Quote

Hi - I am Annabel, Cover Cloud's Life Insurance Robo Advisor.

Below is Cover Cloud's Quick Quote - which has been designed to find you the lowest priced premiums which offer the best value for cover.

This form takes less than 3 minutes to complete as we ask only 5 lifestyle & medical questions.

To start with can I get you to please reconfirm a couple of personal details.

Name

First NameLast Name

Telephone Number*

Date of Birth*

DayMonthYear

Email*

johnsmith@gmail.com

Biological Gender:

Smoker Status*

Perfect ! ... Now I am going to ask 5 simple medical questions.

Q1. Do you have (or have you ever had) any form of cancer, heart disease or disorder (including angina and heart attack), diabetes, stroke, HIV, hepatitis B or hepatitis C?*

Q2. Are you currently visiting any doctor other than your own GP, on an ongoing basis for any medical condition (you can ignore blood pressure, cholesterol, physiotherapy, osteopathy, podiatry, infertility or glaucoma)?*

Q3. In the last 2 years have you had any abnormal test result which required more than one follow up visit with a doctor, consultant or other health professional?*

Q4. In the last 12 months have you had any unexplained symptoms for which you are still under investigation or have not yet sought medical advice for? This includes unexplained bleeding, weight loss or a lump or growth, numbness or tingling.*

Q5. Are you currently awaiting results of any tests or investigations?*

Thanks ! To pick the policy that best fits your needs can you tell me the ...

Reasons for Life Insurance & Cover

Persons to be Covered

Would you like to add Critical Illness Cover to protect you against serious illnesses like cancer, strokes or the inability to work due to medical problems?*

To finalise your policy premiums we are going to review your cover term and amount needs. If you need any help on choosing most appropriate level of cover please - please click the following link Annabel - Cover Calculator .

Cover Amount (£)*

Cover Amount

Term of Cover (Years)*

Term of Cover

Great News we are done! Please confirm you are not a robot and "Click the Cloud" to submit.

Please trace image with your finger or mouse to confirm you are not a robot.*