What is your current age?



20 - 29
30 - 39
40 - 49
50 - 59
60+

What is your marital status?



Single Other

How many of you are working?



1 1.5 2

Do you have children?



Yes No

How many children do you have?



1 2 3 4 5

What is your youngest childs age?



0 - 2 3 - 9 10 - 17 18+

Do you own your own home?



Yes No

Do you have a mortgage?



Yes No

How much is your mortgage?



$1 - $250,000 $250,001 - $500,000 $500,001 - $750,000 $750,001+

Minimum recommended insurance cover:


Life
Income Protection
Total & Permanent Disablement
Trauma
Reset