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    Insurance Survey

    Select gender:

    MaleFemale

    In the past 12 months, have you smoked cigarettes or used any substances containing nicotine?

    YesNo

    Quotation for:

    Only for meFor me and my partnerFor me, my partner, and child/children

    Select the policy benefits you are most interested in for the basic package:

    Bone fracturesAccidental deathTotal permanent disablementPermanent injuries caused by an accidentCompensation for hospital stays in the UK and selected European countries, including PolandNon-accidental death

    Selectpolicy add-ons:

    Child protectionProtection for those with an active lifestyleProtection for healthcare workers

    Using the slider, select the life insurance coverage amount for which you would like to know the price: From £10.000 to £1,000,000

    £

    Upewnij się, że poniższe dane są właściwe, żeby otrzymać spersonalizowaną i niezobowiązującą wycenę:

    Name:

    Surname:

    Phone number:

    Date of Birth

    Country of residence: