Real Quick Survey

Can we steal just 60 seconds of your life?

Please refer to the simple terms and conditions to your right --->>>

Name Email Phone Mobile

following insurance types currently:

Medical Cover Disability Cover
Income Protection Life Cover
Trauma Cover None

I have some form of insurance in place currently with one or more of the following providers:

Accuro AIA AMP
Asteron AXA BNZ
Cigna Fidelity One Path
Partners Life Pinnacle Life Southern Cross
Sovereign Tower Unimed
Westpac OTHER no shown  

 

I think I am paying:
for insurance
just the right amount for my budget
I am currently on a good deal

Name of person who referred me to this survey so they can get an extra 5 chances for the GRAND DRAW.

By completing this survey form you agree to the simple terms and conditions to the right --->>>

Terms & Conditions

New Zealand residents only.

AUCKLAND - every fully completed survey will receive a 2 for 1 dinner voucher at a popular restaurant to the value of $30. Plus you'll go into the draw to win a $200 dinner voucher - the draw takes place with every 25 surveys received. And you'll receive an entry in our grand draw as described below.

OTHER REGION - every fully completed survey will go put you in the draw to win an iPad - the draw takes place with every 125 surveys completed. And you'll receive an entry in our grand draw below.

GRAND DRAW - Every fully completed survey received puts you into the draw to win $2,000 worth of travel vouchers, plus $1,000 spending money - drawn after every 500 completed surveys are received.

GENERAL TERMS - To be a valid survey entry for any of the draws above, you agree to a quick phone call from one of our team to see if we can make sure you've got 'proper' insurance in place. Strictly no obligation to use our free service.

A Few Wise Words