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Home Insurance Quote Form

Create a Home Insurance Quote Form with the WordPress Survey Plugin to provide a better experience for your website visitors.

Using the Calculation Question Type you can sum up the points of the survey taker’s answers thus providing a price estimation for the home insurance both during the survey and at the end of the survey.

Pass the Home Insurance Quote Form to get the estimated price of the Home Insurance.

Home Insurance Price Estimation
Pass the section to get an estimated price for the Home Insurance

Choose the property type

Choose the property type

Choose
Apartment ($200)
Townhouse ($500)
Condo ($350)
Single-family home ($700)

Year built

Year built

Square footage

Square footage

Number of bedrooms

Number of bedrooms

Number of bathrooms

Number of bathrooms

Choose the roof type

Choose the roof type

Choose
Shingle ($10)
Metal ($15)
Tile ($20)
Cement ($30)

Construction material

Construction material

Choose
Wood ($15)
Brick ($20)
Stone ($30)

What amenities does your property include?

What amenities does your property include?

Home Insurance Price

Home Insurance Price

$0  for home insurance
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By Wordpress Survey plugin

Tell us about you
Fill in the personal info to submit the form

Name*

Name*

Email Address*

Email Address*

Phone Number*

Phone Number*

State/Province

State/Province

City

City

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By Wordpress Survey plugin

Download Survey Plugin

Why Create Home Insurance Quote Form on Your Website?

Collect Data With Form
By adding the Home Insurance Form to your website, you can learn more about your target audience by collecting personal data during the survey.
Form Customers
If you have an Insurance Company, you can add this form to your website and turn the survey takers into real customers.
Passing Home Insurance Form
You can assist your website visitors in the decision-making process as they can compare prices between companies and manage their budgets.



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Quiz/Survey/Poll
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