Step #1: Taken To Landing Page Below
Step #2: They Answer Survey Questions Like Below
Do you currently have life insurance?
Yes
No
What is your gender?
Male
Female
Have you used tobacco products within the last 12 months?
Yes
No
City
*
State
*
What is your date of birth?
What is your weight (lbs)?
In the past 5 years have you been treated or prescribed medication for any of the following conditions?
Anxiety, depression, or bipolar
Chronic pain
Heart or circulatory disorder
Cancer
Diabetes
Respiratory disorder
Other medical condition
I have no medical conditions
Are you married?
Yes
No
Do you have children?
Yes
No
What is your job status?
Currently Employed
Retired
On Disability
Homemaker / Other
Do you have a mortgage?
Yes
No
Do you have any other debt?
Yes
No
Are you looking for the policy to cover your final expense?
Yes
No
What type of funeral are you looking for?
Casket
Cremation
I'm not sure
How much coverage are you looking for?
$3,000 - $10,000
$10,000 - $15,000
$15,000 - $25,000
Are you looking for term or permanet?
Yes
No
How much term/permanent are you looking for?
Less than $100,000
$100,000 - $200,000
$200,000 - $300,000
$300,000 - $400,000
$400,000 - $500,000
Over $500,000
Last step! Your quote is ready.
First Name
*
Last Name
*
Email
*
Phone
*
Step #3: Taken To Thank You Page Below
Step #4: You Get An Email Notification
Step #5: They Get Added To A Campaign
CLICK HERE TO SIGN UP TODAY!
