Who are you looking to protect?
Just Me
Me And Someone Else
Tell Us A Bit About Yourself
What Is Your Date Of Birth?
Are You Male Or Female?
Male
Female
Have You Used Nicotine Products In The Last Twelve Months?
Yes
No
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Just A Few More Questions
Do You Have A Spouse Or Civil Partner Etc?
Yes
No
Do You Have Someone Financially Dependant On You?
Yes
No
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Almost There
Do you rent or are you a homeowner?
Rent
Homeowner
Do you have a mortgage or other outstanding debts? (select all that apply)
No Debt
Short Term / Credit Card
Mortgage
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Do you have existing life cover or any savings/investments that could be used in the event of your death?
Yes
No
What is your employment status?
Employed
Self Employed
What is your approximate monthly income after tax?
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Finally, enter your contact details below so we can send you your quote.
Full Name
Contact Number
Email Address
