This free survey is powered by QUESTIONPRO.COM
 
 
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
 
 
 
 
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 : 
City : 
State : 
Zip : 
Phone : 
Email Address : 
 
William Trail - Field Agent
Knights of Columbus Insurance
219-309-9534
[email protected]
Share This Survey:          Survey Software Powered by QuestionPro Survey Software