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Free Insurance Needs Questionnaire Template

Free insurance needs questionnaire template — capture dependants, income replacement gaps, existing policies, health context and budget to prepare a protection review. The fact-finding layer before any coverage recommendation.

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

Quick answer

The fact-finding layer before any coverage recommendation.

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 Questionnaire structures the fact-finding behind every protection recommendation. It captures who depends on the client's income and for how long, existing policies and gaps, health and lifestyle context, debt obligations and budget comfort. Answers arrive in one consistent format per prospect, so agents spend the first meeting confirming and prioritising rather than interrogating — and the file itself documents why each recommendation fits the stated need.

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Template at a Glance

TemplateInsurance Needs Questionnaire
CategoryFinance & Insurance
FormatStructured needs questionnaire with an AI report
Time to completeAbout 10 minutes per response
What you getA documented protection-need basis ranked by gap with an AI report
Best forAgents · Families · Advisers
CostFree to copy and customize on FormLM
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Live Preview

Preview the needs questionnaire and the AI gap report it produces.

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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 run first meetings from completed fact-finds.

2

Teams & agencies

Families inventory scattered policies in one structured record.

3

Founders & freelancers

Advisers document the need basis behind each recommendation.

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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. Who depends on your income, and for how many years? (open)
  2. List existing policies: life, medical, CI, income protection (open)
  3. Do you know the sum assured on each existing policy? (yes/partly/no)
  4. How would you rate your health and lifestyle risk profile? (1–5)
  5. What monthly premium feels affordable without strain? (range)
  6. Which coverage area do you want reviewed first? (single choice)
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Frequently Asked Questions

What is the Insurance Needs Questionnaire template?
It is a free, ready-to-use template for financial advisers and insurance professionals.
Is this a substitute for advice?
No — it is a structured fact-finding tool that prepares the conversation; product selection and recommendations stay with the licensed agent.
Can existing policies be listed easily?
Yes, free-text and structured fields capture policy type, holder and sum assured so agents can build a coverage inventory from one response.
Does it work for group or family reviews?
Yes — duplicate and customise the questionnaire per family member, or add household sections after copying the template.
What does the questionnaire capture for a review?
Dependants, income-replacement need, existing policies, health context and budget, giving advisers a documented basis for each recommendation instead of a guess.
Does it suit whole-family reviews?
Yes — the same structure lists every member's cover in one record, so families see scattered policies consolidated and ranked by gap.

Use the Insurance Needs Questionnaire today

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