Fraternity-Testvériség, 2005 (83. évfolyam, 1-4. szám)
2005-07-01 / 3. szám
Page 25 Fraternity- Testvériség HRFA Questionnaire To Help Us Serve You Better (Please copy or tear out, fill out front & back page and mail to President HRFA at the address below) 1. PERSONAL Name (Optional):___________________________________________ 1. Number of persons living in your household I I I Own your home? (Yes or No):___ 2. Ages of members in your household I I I I I I [ I I I I I I I I I I I I I I 3. Household Income Range (Head of household or husband and wife’s income together) (check one): □0-$50,000 □ $51,000 to $100,000 □ Over $100,000 4. Highest Education of Head of Household (check one): □ High School □ College Q Graduate School 2. REASONS YOU BOUGHT FROM HRFA (check all that apply): ] Family member recommended I buy □ Friend recommended I buy □ Wanted to support a Hungarian related organization ] Liked the personal attention I was given ] Bought in the past and had good experience ] Family member bought it for me □ Other (explain): 3. PRODUCTS YOU HAVE FROM OTHER INSURERS (not from HRFA) Product Number of each you have Total $ Amount of each Permanent life policies Term life policies Juvenile policies Pre-need policies Annuities If you bought policies from a commercial insurance carrier rather than HRFA what would make you switch to or buy from HRFA? 4. WHAT OTHER PRODUCTS/SERVICES WOULD YOU LIKE TO SEE HRFA OFFER? □ Disability Insurance fl Long Term Care Insurance ] Financial advice j Estate Planning □ Healthcare discount program O Other: (explain) President HRFA, 2001 Massachusetts Ave. NW, Washington D.C. 20036 I
