Fraternity-Testvériség, 2006 (84. évfolyam, 1-4. szám)
2006-01-01 / 1. szám
Page 33 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 I 3. Household Income Range (Head of household or husband and wife’s income together) (check one): n0-$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 □ Long Term Care Insurance □ Financial advice □ Estate Planning □ Healthcare discount program □ Other: (explain) President HRFA, 2001 Massachusetts Ave. NW, Washington D.C. 20036
