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Personal Lines Survey
Personal Lines Survey
First Name
*
Last Name
*
Email
*
Any updates/improvements to your home?
Yes
No
Own any fun stuff: Motorcycle, RV, Watercraft or Golf Cart?
Yes
No
Own Jewelry or Fine Arts (above $2500 in value)?
Yes
No
Any newly licensed drivers in household?
Yes
No
Own any investment property?
Yes
No
Interested in Flood Insurance?
Yes
No
Do you carry Life Insurance (40% of Americans do NOT)?
Yes
No
Name
This field is for validation purposes and should be left unchanged.
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