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Your Personal Policy Check-up
This form takes about 5 minutes to complete but it will help us make sure that you're properly insured.
22
Questions
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1
Please enter your name and contact information to begin the review process.
Please enter your name
Please enter your email
Please enter your phone
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2
We use your cell phone number as our primary way of reaching you. To opt in to receiving text messages from Hanby Insurance please select "Yes" below. Please note that if you choose to opt out you may miss information regarding claims and cancellations.
Privacy Policy
Yes
Opt-Outhanbyinsurance.com
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3
Do you have Auto Insurance with our agency
*
This field is required.
YES
NO
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4
Would you be interested in receiving a complimentary quote?
You could potentially save 20% or more on your home with a companion discount.
YES
NO
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5
Are there any new drivers in your household?
YES
NO
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6
Have you paid off any of your vehicles in the last year?
YES
NO
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7
Do any of the vehicles on your policy have custom equipment (after market stereo, audio/visual equipment, or other accessories)?
YES
NO
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8
If offered by your current carrier, would you be interested in learning more about telematics discount programs?
This is driver monitoring via cell phone app or a plug in device installed on your car.
YES
NO
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9
Do any of the drivers in your household qualify for a Good Student Discount?
YES
NO
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10
Are any of the vehicles in your household garaged at address other than your primary home address?
YES
NO
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11
Do you have homeowners or renters insurance with our agency?
YES
NO
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12
Would you be interested in getting a quote on Homeowners or Renters insurance?
You could potentially save 20% or more on your auto with a companion discount
YES
NO
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13
Do you own your home or do you rent?
Own
Rent
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14
Have you refinanced your home or paid off your mortgage in the last year?
YES
NO
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15
When was the last time you had your roof replaced?
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16
Have you updated or remodeled your home in the last 12 months? Or have you added any outbuildings or other structures?
YES
NO
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17
Have you purchased or acquired any of the following in the last 12 months: Jewelry, firearms, cameras, fine art, musical instruments, furs or silver?
YES
NO
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18
Flooding is not covered under your homeowners/renters insurance policy. Would you be interested in receiving a quote for flood insurance?
YES
NO
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19
Personal Umbrella Policy: This policy provides extra liability coverage over both your home and auto policies. Coverage amounts range from $1M-$5M depending on your need. We recommend these policies to anyone with a pool, teenage drivers, or assets to protect. The average cost of an umbrella policy is about $250/year.
I already have an umbrella policy with Hanby
Please contact me to discuss
I'm not interested in this coverage right now
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20
Life Insurance: Did you know our office also writes term life insurance? No one ever expects the unexpected. However, should your family experience a tragedy, life insurance will help them keep their current lifestyle and provide for them when you can't. The gift of life insurance is the most important gift you can give your family after you're gone.
Please contact me to discuss
I'm not interested in this coverage right now
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21
Do you have any motorcycles, boats, RV's or classic cars that you would like for our agency to quote for you?
YES
NO
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22
Is there anything NOT mentioned that has changed that you think may affect your insurance policies?
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