FocusJr

Name

Telephone number

Address

City

State

Zip code

Email address

What is your job title or position?

How often do you think about home, auto or life insurance?

Often
Sometimes
Never

Do you own home, auto or life insurance? Please write in the ones you own. If you do not own any write in "I don’t have any home, auto or life insurance products".

Are you:

Male
Female

What is your age?

For the next few questions below, please respond ONLY to the AGE CATEGORY that you fall into.

FOR AGES 65 OR OLDER ONLY, OTHERS SKIP: What statement below best describes your life situation?

I have achieved success and now I’m am enjoying life.
My life continues to be stressful as it has always been.

FOR AGES 65 OR OLDER ONLY, OTHERS SKIP: What best describes what insurance products you own?

I have a number of policies including home, life, auto and/or umbrella coverage.
I don’t own any insurance policies.

FOR AGES 55-64 ONLY, OTHERS SKIP: What best describes your life situation?

I’m coming from modest means but have achieved some success today.
I’m coming from a wealthy family and never had a need to succeed.
I’m coming from a modest background and I don’t consider myself successful.

FOR AGES 55-64 ONLY, OTHERS SKIP: What best describes your risk behavior?

I haven’t filed an auto claim or had a driving violation over the past year.
I had driving violations over the past year.
I filed at least one auto claim last year.

FOR AGES 45-54 ONLY, OTHERS SKIP: What best describes your life situation?

I have achieved success and expect to achieve more in the future.
I have not had much success in life and and don’t expect much from the future.
I have achieved everything that I wanted in life.

FOR AGES 45-54 ONLY, OTHERS SKIP: Which of the statements below best describe you?

I’m willing to pay more for better insurance coverage and am open to switching insurance providers.
I’m not willing to pay more for better insurance coverage.
I’m loyal to my current insurance provider.

FOR AGES 35-44 ONLY, OTHERS SKIP: What best describes your situation?

I face financial barriers, but have a “make the best with what you have” attitude.
Although I’m of modest beginnings, I’m comfortable with who I’m and where I’m in my career and life.
I face financial barriers and I feel I can’t get out of a rough patch.
I’m coming from a wealthy family and never had a need to succeed
I have achieved success and now I’m am enjoying life.

FOR AGES 35-44 ONLY, OTHERS SKIP: What best describes your financial habits?

I have significant credit card debt.
I’m open to switching insurance carriers.
I’m loyal to my insurance providers.
I don’t have a lot of credit card debt.

FOR AGES 25-34 ONLY, OTHERS SKIP: What best describes your life situation?

I have a low satisfaction with my life today and there are a lot of barriers to my achieving my goals in life.
I have achieved success and expect to achieve more in the future.
I’m coming from a wealthy family and never had a need to succeed

FOR AGES 25-34 ONLY, OTHERS SKIP: What best describes your situation?

I don’t have a credit card and I had a driving violation over the past 2 years.
I have one or more credit cards.
I haven’t had a driving violation over the past 2 years.

FOR ALL: Which of the following describes your ethnic background?

Caucasian
African American
Asian American
Hispanic/Latino
Native American
Bi-racial
Other

What State do you currently live in?

How comfortable are you with online technology?

Very comfortable
Somewhat comfortable
Uncomfortable

How often do you read news online?

Several times a day
Once a day
Once a week
Rarely
Never

What online sources do you go to for your news? Please check all that apply.

Insurance /Financial Focus Group