First Force Ltd is an insurance company with 1000 employees across major cities in India. The company is planning to introduce 360 degrees feedback and has requested you to design a 360 degrees form.
The form below is a feedback form you are expected to provide your outmost truthful information to our insurance company first force ltd (Required to fill the part in red)
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*First Name (Â Â Â Â Â Â Â Â Â Â Â Â )
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*Middle Name (Â Â Â Â Â Â Â Â Â Â Â )
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*Surname (Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â )
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*Email (Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â )
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*Which region are you located in India (Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â )
o  Mumbai
o  Delhi
o  Bangalore
o  Hyderabad
o  Kolkata
o  Surat
o  Pune
o  Jaipur
o  Chennai
o  Ahmadabad
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*Do you have an insurance policy?
(a)Yes
(B)No
What type of insurance do you have?
(a)private
(b) Public
*Who influenced you to get an insurance cover?
(a)Â Â Â Friends
(b)Â Â The media
(c)Â Â Â Insurance agent
(d)Â Â Others
*What kind of insurance cover do you have? Tick as many as possible
(a)Â Â Â Savings policy
(b)Â Â Whole life policy
(c)Â Â Â Endowment policy
(d)Â Â Pension plan policy
(e)Â Â Â Any other
*What is the average term of the policies you have?
(a)Â Â Â Up to 5 years
(b)Â Â Above 20 years
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*Have you ever received any benefit from any of the policies you currently having?
(a)Â Â Â Yes
(b)Â Â No
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*How regularly do you pay your premiums?
(a)Â Â Â Yearly
(b)Â Â Half year
(c)Â Â Â Quarterly
(d)Â Â Monthly
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*With the policy you are having, have any of your policies ever lapsed due to non-payment of premiums?
(a)Â Â Â Yes
(b)Â Â No
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*Have you received any incentives from your insurance company on the insurance premiums?
(a)Â Â Â Yes
(b)Â Â No
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*Have you ever surrendered any insurance policy?
(a)Â Â Â Yes
(b)Â Â No
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*How would you rate our insurance company?
(a)Â Â Â Excellent
(b)Â Â Good
(c)Â Â Â Average
(d)Â Â Poor
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DONE
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