Homeowners Insurance Questionnaire
The homeowner’s insurance questionnaire has to be filled by an applicant who is basically applying for homeowner insurance. Homeowner insurance is also known as home insurance and it combines various types of personal insurance protections and covers losses inside a home or private property as well as accidents within the home.
Sample Homeowners Insurance Questionnaire:
Name of the Applicant/Insured: _________________
Address: _____________________________ State: ________ Zip: _________
Phone Number: ______________
Email Address: ______________
Social Security #: ______________________________
Number of Rooms in the house:________ Year built: ________
Number of years in this house: __________ (years) __________ (months)
Q1. How many rooms are there in your home?
- 1 room
- 2 rooms
- 3-5 rooms
- More than 5 rooms
Q2. How many members reside in your home?
- Single member
- 1-3 members
- 3-5 members
- 5-7 members
- More than 7 members
Q3. What is the total square feet of living area?
Q4. Does your home have a basement?
Q5. Which of the following renovations have you made in the last 1 year?
Q6. Which of the following security systems have you enabled in your home?
- Fire extinguisher / hydrant
- Fire Alarm
- Smoke alarm
- Burglar alarm
- Security cameras
- Motion detectors
- Wireless security systems
- Sprinkler system
Q7. Which of the following have you used in exterior walls?
- Stucco on frame
Q8. Which of the following personal possession do you keep in the house?
- Oriental Rugs
- Business documents
- Inflammable items
- Rare artifacts
Q9. What is the amount of content coverage that you require?
Q10. What is the amount of liability coverage that you require?
Category: Insurance Questionnaire