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💰 Finance & Insurance

Free Insurance Needs Assessment Template with AI Report

Free insurance assessment template — score coverage adequacy across life, health, income protection, critical illness and property, and generate a gap report with AI. Agents show clients their coverage gaps as one clear, printable score.

6 dimensions
~10 min
AI PDF Report
AI Consultant
Live Preview

Quick answer

Agents show clients their coverage gaps as one clear, printable score.

Disclaimer: this page and its AI report are for self-reflection and process reference only. They do not constitute medical, psychological, financial, legal or safety advice. Consult a qualified professional when needed.

Methodology: items are a structural adaptation of widely used frameworks, not an official version; scoring is indicative, not diagnostic.

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About this template

The Insurance Needs Assessment replaces gut-feel product pitching with a structured gap analysis. Clients rate their existing provision across five protected areas — life cover, medical and health, income protection, critical illness and property/liability — plus dependants and budget context. Weighted 1–5 scoring computes an adequacy profile per area, and the auto-generated AI PDF report shows the largest gaps and suggested conversation points, with a QR code into an AI consultant for follow-up questions.

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Template at a Glance

TemplateInsurance Needs Assessment
CategoryFinance & Insurance
FormatScored 1–5 coverage assessment with an AI report
Time to completeAbout 10 minutes per response
What you getA quantified protection-gap profile and an AI report ranking shortfalls
Best forAgents · Clients · Agencies
CostFree to copy and customize on FormLM
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Live Preview

Preview the insurance assessment and the AI coverage-gap report it returns.

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Fill it in to see how responses flow.
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Sample AI report with scoring visuals and recommendations, printable as a PDF.
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Scan the QR on the report to start an AI consultant chat.
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What's Included

Everything you need to run this template.

1

Structured, ready-to-use fields

2

Weighted 1–5 scoring

3

Personalized AI PDF report

4

QR code to AI consultant chat

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How It Works

From copy to deliverable in four steps.

1

Use This Template

Copy the form and its scoring, report and branding settings into your FormLM workspace — free.

2

Customize

Adjust fields, options and dimensions to match advisers and insurance professionals.

3

Share and collect

Send the link or QR; every response is captured automatically.

4

Review and act

Open the personalized AI PDF report and share it with stakeholders.

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Who Is This For

Pick your role — see how it fits your workflow.

1

Individual practitioners

Agents open every prospect meeting with a quantified gap chart.

2

Teams & agencies

Clients see their protection score before hearing any product pitch.

3

Founders & freelancers

Agencies standardise the needs-analysis step across their whole team.

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Key Features

What makes this template work as a professional deliverable.

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Sample Questions Inside

A preview of real questions — the full version adds scoring and a personalized report per respondent.

  1. How would you rate the adequacy of your life cover? (1–5)
  2. How would you rate your health and medical coverage? (1–5)
  3. How would you rate your income protection if you could not work? (1–5)
  4. How would you rate your critical illness provision? (1–5)
  5. How would you rate property and liability coverage? (1–5)
  6. Who depends on your income, and for how many years? (open)
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Frequently Asked Questions

What is the Insurance Needs Assessment template?
It is a free, ready-to-use template for financial advisers and insurance professionals.
What does the assessment score?
Adequacy of life, health, income-protection, critical-illness and property coverage — each rated 1–5 and combined into a weighted profile.
Does it recommend products?
No. It surfaces gaps and generates a discussion-ready report; product selection stays with the licensed agent or adviser.
Can the report be branded for my agency?
Yes — the AI PDF report is generated per respondent and you can adjust content and branding before sharing.
What does the assessment reveal before a pitch?
It scores cover across life, health, income protection, critical illness and property, so the client sees their own protection gaps before any product is proposed.
How does the report support agency work?
The gap chart and AI report standardise the needs-analysis step across an agency, so every agent opens the same evidence-based conversation.

Use the Insurance Needs Assessment today

Copy it into your workspace, customize, and share — free to start.