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Surveys
2010
September
M
Member Status Survey
Member Status Survey
Knights of Columbus Benefits Survey
Dear Brother Knight,
You are invited to participate in this confidential, on-line survey of Knights of Columbus members living in Northwest Indiana. The survey asks your basic understanding of Knights of Columbus member benefits and what you know about your Knights of Columbus Insurance program. It will take approximately 7 1/2 minutes to complete the questionnaire.
Participation in this study is completely
voluntary
. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important to learn your opinions.
Survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. You will be contacted directly in response to this survey only if you request. If you have questions at any time about the survey or the procedures, you may contact Field Agent William Trail at 219-309-9534 or at the email address specified below.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
Fraternally,
Knights of Columbus
I understand that participation is voluntary.
Which of the following reasons for life insurance would you consider to be most important?
Final expenses (burial, service, final bills)
Childrens educational expenses
Pay off existing mortgage or debt
Replace lost income for spouse
A special child's need in event second death
A gift to charity
An inheritance to children or grandchildren
Business insurance planning
Estate insurance planning
Tax free income and benefits
Other
Select the ways you have learned about Knights of Columbus insurance benefits in the past.
From other insurance members
From my Grand Knight
Personal meeting with my field agent
Agent presentation at council meeting
Council insurance nights
Council newsletters
Direct mail from K of C
Letters from the General Agent
Emails
Online at KofC.org
Online at my council website
Other
For the following questions, please select all that apply.
I am interested in information about
the following topics...
Full Insurance Membership
Wife Insurance Benefit
Fraternal Insurance Benefit
Scholarships
Life Insurance
Retirement Saving
Nursing Home Care
Other
Has your family situation changed or will it be changing?
Yes, recently
No, not applicable
Yes, soon
Buying home
Losing home
Pay increase
Pay decrease
New job
Lost job
Married
Divorced
Widowed
Permanently disabled
Temporarily disabled
Retirement
(Optional) Please update your member contact information.
First Name
:
Last Name
:
Address 1
:
Address 2
:
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:
State
:
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Zip
:
Phone
:
Email Address
:
William Trail - Field Agent
Knights of Columbus Insurance
219-309-9534
[email protected]
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