Pet Insurance Survey

Pet Insurance Survey
How long do you have a pet insurance?

Less than 1 month1-6 months6-12 months1-5 yearsMore than 5 yearsNo insurance
Do you consider to buy any pet insurance?

YesNo
How much would you pay for the annual pet insurance?

$300$400$500$600$700Other
Approximately, How many times do you visit your pet's vet in a year?

Once2-5 times6-9 timesMore than 9 timesNever
Approximately, How much do you spend on your vet visits in a year?

$0$1-200$201-400$401-600$601-700$701-800$801 and above
Which one is the main reason you bring your pet to the vet?

Regular check-upVaccinationOther
Please sort the insurance coverage list according to importance for you
Do you have any other insurance coverage that you think is important?
If you are interested to get detailed information about pet insurance, or you are considering to purchase it, please fill out the following sections. So, our specialists can contact with you.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Breed of your pet (cat, dog, etc)
Name of your pet
You prefer contacted by

PhoneEmailDoes not matterOther
Do you have additional notes?
Should be Empty: