Since the first of the reference month, have you or any member of your
CU made any payments for life insurance or other policies which provide benefits in case of death or
disability, which you no longer have?
Back to top
How many? [enter value] _____________
Have you or any members of your CU made any payments for life insurance or other policies
which provide benefits in case of death or disability, for persons NOT IN YOUR CU?
How many? [enter value] _____________
Do you or any members of your CU have any automobile or other vehicle insurance?
How many policies or plans does your CU have?
[enter value] ____________
Since the first of the reference month, have you or any member of your CU
made any payments for automobile or other vehicle insurance, which you no longer have?
How many? [enter value] ____________
Have you or any members of your CU made any payments for automobile
or other vehicle insurance, for persons NOT IN YOUR CU?
How many? [enter value] ____________
Back to top
Do you or any members of your CU have any have any homeowner's insurance, which protects your
home, furniture, personal effects, or other property against fire, flood, theft, loss, or
damages?
How many policies or plans does your CU have?
[enter value] ____________
Since the first of the reference month, have you or any member of your CU
made any payments for homeowner's insurance (including flood, fire, and extended coverage),
which you no longer have?
How many? [enter value] ____________
Have you or any members of your CU made any payments for homeowner's insurance
(including flood, fire, and extended coverage), for persons NOT IN YOUR CU?
How many? [enter value] ____________
Do you or any members of your CU have any tenant's insurance protecting your home,
furniture, personal effects, or other property against fire, theft, loss, or damages?
How many policies or plans does your CU have?
[enter value] ____________
Since the first of the reference month, have you or any member of your CU
made any payments for tenant's insurance policies, which you no longer have?
How many? [enter value] ____________
Have you or any members of your CU made any payments for tenant's insurance policies, for
persons NOT IN YOUR CU?
How many? [enter value] ____________
Back to top
Do you or any members of your CU have any other types of non-health insurance, such as,
those listed in the information booklet?
Information Booklet »
How many policies or plans does your CU have?
[enter value] ____________
Since the first of the reference month, have you or any member of your CU
made any payments for other types of non-health insurance policies, which you no longer have?
How many? [enter value] ____________
Have you or any members of your CU made any payments for other types of non-health
insurance policies, for persons NOT IN YOUR CU?
How many? [enter value] ____________
End of Section 13A.2
Go to Section 13 Part B - Detailed Questions »
Go to CE CAPI Survey Instrument Home Page »
Last Modified Date: November 29, 2005