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Zip Code

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Do you own your home?

Yes, I own
No, I rent
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What type of property is it?

Single Family Home
Apartment
Duplex
Condominium
Town Home
Manufactured/Mobile Home
Other
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What type of insurance are you looking for?

Homeowners: I own and need content coverage
Condo: I own and need content coverage
Townhome: I own and need content coverage
Landlord: I own but renting to another party
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Approximately what year was the property built?

(it's OK to estimate)

2020-2023
2010-2019
2000-2009
1990-1999
1980-1989
Before 1980
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Approximately how many square feet?

[{"by":250,"end":10000,"start":500}]
null
"9"
  • <500 sqft
  • 10K+ sqft
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What type of roof?

Asphalt Shingle
Wood Shingle
Tile
Unsure
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What Year Was Your Roof Last Replaced?

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How many stories?

1 Story
2 Stories
3 Stories
4 or More Stories
Bi-level
Tri-level
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How many bedrooms?

1
2
3
4
5
6+
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How many bathrooms?

1
1.5
2
2.5
3
3.5
4+
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What is the primary heating system?

Gas (forced air)
Electric
Hot Water/Steam Radiate
Oil/Coal/Kerosene
Propane
Stove
Unsure
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Are there any potential discounts?

(check any that apply)
None
Deadbolts
Smoke Alarms
Fire Extinguishers
Nearby Fire Hydrant
Manned Fire Station within 5 Miles
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What type of fire alarm?

(this is a potential discount!)

None
Monitored
Unmonitored
Unsure
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What type security system?

(this is a potential discount!)

None
Monitored
Unmonitored
Unsure
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Are there any add-ons or improvements?

(check any that apply)
Add Ons
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Are there any past claims?

(check any that apply)
None
Weather
Theft
Vandalism
Water
Fire
Other
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What's your gender?

Male
Female
Non-binary
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What's your marital status?

Married
Not Married
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What's your birthday?

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What's your home address?

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Great News! 

You've been matched.

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What is your full name?

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What is your email address?

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What is your phone number?

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