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Medical Health and Lifestyle Information
 Please complete to the best of your knowledge:
Over the past 10 years, the applicant has been diagnosed with:
Has applicant used any tobacco products over the past 12 months?
Does this person have any immediate relatives who have ever had heart disease?
Does this person have any immediate relatives who have ever had any form of cancer?
Does this person fly a plane (private or student pilot) or engage in any hazardous hobbies or occupations?
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Why Medical Information Is Necessary For an Accurate Quote
Too often consumers are tempted to rely on the convenience of online instant quotes when searching for the best values in life insurance. Anonymous, and with instant gratification, instant quotes may appear to save time and effort but more often than not provide low-balled quotes based on assumptions of perfect or near perfect health. The eventual sticker shock when the policy comes out of underwriting returns the customer to square one.
An accurate life insurance quote is as unique to you as your fingerprint which is why we ask the questions at left. It is our goal to get your life insurance quote correct the first time so that you can make an informed decision and expedite the process of getting your family's future protected.
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