Your protection, made personal
Protection questionnaire
A few details about your health, lifestyle and priorities will help your adviser research your protection options. Complete one questionnaire per person.
Usually 10–15 minutes. This prepares your adviser for the next step. Your chosen insurer may ask further questions before you apply.
Optional. Use your own device, as saved answers include health information. Saved progress expires after 7 days. Nothing is sent until you select Submit questionnaire. Your completed PDF goes directly to your selected adviser.
Your answers stay in this open page unless you choose to save them.
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Check your answers
Review every answer below, including the No answers shown for each medical condition. Check that the recorded answers are correct. You can edit any section before submitting your questionnaire.
This is not an insurance application, and completing it does not put cover in place.
Please check the confirmation above before continuing.
Your completed PDF will be sent directly to .
Subject:
Download PDF saves a copy to your device. It does not submit the questionnaire.
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Your adviser will review your answers and contact you about the next step.