Home Quote Questionaire

Birthday*

Is your home a mobile home? Is it a single or double?*

Frame or Brick?*

Do you have central air?*

Do you have a garage?*

Is the garage....?*

Do you want the garage covered in the policy?*

Do you have...?*

If you chose basement is it...?*

Do you have a pool?*

Is the pool above or below ground?*

Is the pool fenced? *

Do you have a trampoline?*

Do you have a central alarm system?*

Do you have smoke alarms?*

How did you hear about us?*