"status" : "FAIL",
"info" : "clientID:
Type:Does Not Have Existing Insurance
Before you start...
Please could you provide your postcode and Dates Of Birth for all persons to be covered?
1: What level of cover are you looking for? Comprehensive, Mid-Range or Budget?
2: Which benefits would you like to be included in your quote:
3: Would you be happy for your policy to include an excess?
4: Do you have a preference for any particular private hospital?
5: Would you be able to confirm your budget?
1: In the last 12 months has anyone to be covered on the policy had any consultations or treatments which have been privately self-paid or paid for by the NHS?
2: Have you or anyone to be covered ever had treatment or advice for any of the following:
3: Have you or anyone to be covered received any medical treatment or undergone any medical investigations in the last 5 years? If so please provide details.
4: Are you or anyone to be covered taking any regular medication or having regular medical advice for any condition? If so please provide details.
5: Are you aware of any other medical conditions or symptoms that may require treatment or advice in the future? If so please provide details.
6: Do you or any other person to be covered have any appointments, tests or treatments planned, pending or booked with a GP, specialist or hospital? If so please provide details.
7: Are any adults to be covered smokers? If yes please specify.
8: Please provide details of your occupation, including whether you are self-employed.