Welcome to
20 Insurance Questions

At 20 Insurance Questions, we believe that insurance should be personal and customized to fit your unique circumstances. Our mission is to provide you with the best insurance coverage by understanding your needs. Let's get started on this journey together.

Your Insurance, Your Way

We’ve designed a series of 20 questions that will help us understand your specific insurance requirements. By answering these questions, you’re taking the first step towards securing the protection you deserve.

Insurance Simplified

20 Auto Insurance Questions

"*" indicates required fields

Step 1 of 13

1. Who is getting a quote?

Name*

First Middle Last Suffix

Date of Birth*

Month

Day

Year

Phone*

Email*

Drivers License #*

Marital Status*

Married

Divorced

Single

Gender

Male

Female

Spouses or Co- Insured Information

Spouse or Co-Insured Name

First Middle Last Suffix

Date of Birth

Month

Day

Year

Phone

Gender

Male

Female

Drivers License #

2. What led you to 20 Insurance Questions?*

Referred by someone

Referred by a business or charity

Online search

Other

Name of source

3. What is your address?*

Street Address Address Line 2 City State ZIP Code

Previous Address (only needed if you've moved in the past 2 years)

Street Address Address Line 2 City State ZIP Code

4. Who are the other members of your household?

Drivers to be included on this policy

Name

Relationship

Date of Birth

Drivers License Number

Enter 'N/A' in each field if it doesn't apply

Resident Relatives that do not drive (children or non-licensed adults)

Name

Relationship

Date of Birth

Household members that have their own insurance

Name

Relationship

5. Has anyone received a ticket in the last 5 years?*

Yes

List

Driver

Violation

Date

6. Have there been any claims filed in the last 5 years?*

Yes

List

Driver

Description

Approximate Cost of the Claim

7. What vehicles are we quoting?

Year

Make

Model

VIN Number

What type of coverage would you like for each vehicle?*

PLPD Only

Full Coverage

varies by vehicle

Other

8. What PIP limits (medical expenses) do you want on your auto insurance?*

Unlimited (Recommended and most common in Michigan)

$500,000

$250,000

Medicaid Option ($50,000)

Medicare Option (opt-out)

I want to exclude this coverage because my health insurance will cover me.

9. How much bodily injury limits would you like to be quoted at?*

I want the minimum recommended limits by the State of Michigan, which is $250,000 per person/ $500,000 per occurrence

I want something more

I want something less

10. Are any vehicles used for business purposes?*

Delivery Apps such as Uber, Shipt, DoorDash etc.

Pizza, Paper, or other traditional deliveries

Employees drive a vehicle

Other

11. Who are you currently insured with?

Carrier

Expiration Date

Bodily Injury Limits

Length of time with carrier

12. How soon do you want to start your new policy?*

Need it right away

There's a particular date

Whatever gives me the best discount

Date

MM slash DD slash YYYY

13. Do you wish to participate in Telematics?*

Yes

Telematics are ways to monitor your driving by either a device which plugs into your cars computer or by an app you download on a phone. Most carriers offer an initial discount of 10% and then give you a final discount after the trial period.

14. Are all vehicles garaged at the insured location?*

Yes

15. Do any vehicles have a salvaged title?

Yes

16. Do any vehicles have customized equipment that you want insured?*

No customization

My speakers are as big as refridgerators

My tires are taller than me

Other

Discounts

17. Which of the following multi-policy discounts might apply?*

Home/Condo

Renters

Motorcycle

Boat

Umbrella

Rental Property

None

18. Are you a member of an organization which may ofer a discount on insurance?

Credit Union Member

College Alumni

None

Other

Payment Methods

19, What is your preferred payment method for auto insurance?*

Automatically pay in full (every 6 or 12 months)

Pay in full but not by automatic payment

Automatic monthly payments

Monthly payments but not on automatic payment

Additional Coverage

20. What other types of quotes will you need?

Home/Condo/Renters

Umbrella

Cycle

Boat

Rental Property

Business Insurance

None

Untitled

Name

This field is for validation purposes and should be left unchanged.

Why Answer the 20 Questions?

Your answers to these questions are the building blocks of your customized insurance plan. By providing us with this information, you’ll enjoy several benefits:

Tailored Coverage

We'll recommend insurance products that match your unique needs and budget.

Peace of Mind

You'll have confidence knowing you're properly protected.

Cost Savings

Our personalized approach can help you find cost-effective insurance solutions.

Expert Guidance

Our experienced agents are here to assist you every step of the way.

Welcome to 20 Insurance Questions

Your Insurance, Your Way

20 Auto Insurance Questions

1. Who is getting a quote?

Spouses or Co- Insured Information

4. Who are the other members of your household?

Discounts

Payment Methods

Additional Coverage

Why Answer the 20 Questions?

Tailored Coverage

Peace of Mind

Cost Savings

Expert Guidance

Welcome to
20 Insurance Questions