docs.google.com Open in urlscan Pro
142.250.66.238  Public Scan

Submitted URL: https://l.club.compareclub.com.au/ls/click?upn=u001.V20TziOYqqBxdOPTbGhrCBxtL6MccJLyXGCdE4QjcNE2vZqWtwjuQuOgEQv-2FIWFF0TC0SV1B6km0...
Effective URL: https://docs.google.com/forms/d/1TVfg25Z1cSq4Yq9PrQVDhqXzjPSWUzahx2KDzuYDSaw/viewform?lid=9sbt0tauhr0k&utm_medium=edm&ut...
Submission: On June 03 via manual from IN — Scanned from AU

Form analysis 1 forms found in the DOM

POST https://docs.google.com/forms/d/e/1FAIpQLScsQT4FHS3xcl0BjuBbpgniRASjayVXP9R2mfJvqFNwrWokjg/formResponse

<form action="https://docs.google.com/forms/d/e/1FAIpQLScsQT4FHS3xcl0BjuBbpgniRASjayVXP9R2mfJvqFNwrWokjg/formResponse" target="_self" method="POST" id="mG61Hd" jsmodel="TOfxwf Q91hve CEkLOc" data-shuffle-seed="-7920030211095367807"
  data-clean-viewform-url="https://docs.google.com/forms/d/e/1FAIpQLScsQT4FHS3xcl0BjuBbpgniRASjayVXP9R2mfJvqFNwrWokjg/viewform?lid=9sbt0tauhr0k&amp;utm_medium=edm&amp;utm_source=internal-cmm&amp;utm_content=cc_health_re-engagement_survey&amp;utm_campaign=cc_health_re-engagement_survey_may&amp;beid=12178fa7fed5396877f07f450cea496aa32b508c2a54fad354a2edf859e019c8&amp;edit_requested=true"
  data-response="%.@.]" data-dlp-data="%.@.null,false]" data-first-entry="0" data-last-entry="4" data-is-first-page="true">
  <div jscontroller="yUS4Lc" jsaction="rcuQ6b:rcuQ6b;UxRBlf:rcuQ6b;">
    <div jsname="o6bZLc"><input type="hidden" name="entry.1995054593" value=""><input type="hidden" name="entry.348449134" value=""></div>
  </div>
  <div class="RH5hzf RLS9Fe">
    <div class="lrKTG">
      <div class="Dq4amc">
        <div class="m7w29c O8VmIc tIvQIf"><noscript>
            <div class="HB1eCd-X3SwIb-haAclf">
              <div class="HB1eCd-X3SwIb-i8xkGf">
                <div class="tk3N6e-cXJiPb tk3N6e-cXJiPb-TSZdd tk3N6e-cXJiPb-GMvhG">JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.</div>
              </div><br>
            </div>
          </noscript>
          <div class="JH79cc RVEQke b33AEc"></div>
          <div class="N0gd6">
            <div class="ahS2Le">
              <div class="F9yp7e ikZYwf LgNcQe" dir="auto" role="heading" aria-level="1">Compare Club Health Insurance Survey</div>
            </div>
            <div jsname="F0H8Yc" class="liS6Hc"></div>
          </div>
          <div class="zAVwcb"></div>
          <div class="DqBBlb">
            <div class="Oh1Vtf">
              <div class="kesdnc" id="SMMuxb">
                <a jscontroller="A2m8uc" jsaction="rcuQ6b:npT2md; click:mAWTmb;" href="https://accounts.google.com/Login?continue=https%3A%2F%2Fdocs.google.com%2Fforms%2Fd%2Fe%2F1FAIpQLScsQT4FHS3xcl0BjuBbpgniRASjayVXP9R2mfJvqFNwrWokjg%2Fviewform%3Ffbzx%3D-7920030211095367807" aria-describedby="SMMuxb">Sign in to Google</a>
                to save your progress. <a class="TYUeKb" jscontroller="rmdjlf" jsaction="rcuQ6b:npT2md; click:xdDXgc;" role="button" tabindex="0">Learn more</a></div>
            </div>
            <div class="zAVwcb"></div>
            <div class="md0UAd" aria-hidden="true" dir="auto">* Indicates required question</div>
          </div>
        </div>
      </div>
      <div class="o3Dpx" role="list">
        <div class="Qr7Oae" role="listitem">
          <div jsmodel="CP1oW"
            data-params="%.@.[611334411,&quot;We're sorry we didn't meet your needs in purchasing a new health policy. Did you:&quot;,null,2,[[1351774028,[[&quot;Purchase directly with a fund on their website (BUPA, AHM etc)&quot;,null,null,null,false],[&quot;Purchase through another comparison website&quot;,null,null,null,false],[&quot;Not purchase any new health insurance policy at all&quot;,null,null,null,false]],true,null,null,null,null,null,true,null,[]]],null,null,null,null,null,null,[null,&quot;We're sorry we didn't meet your needs in purchasing a new health policy. Did you:&quot;]],&quot;i1&quot;,&quot;i2&quot;,&quot;i3&quot;,false]">
            <div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
              <div class="z12JJ">
                <div class="M4DNQ">
                  <div id="i1" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i4"><span class="M7eMe">We're sorry we didn't meet your needs in purchasing a new health policy. Did you:</span><span class="vnumgf" id="i4"
                      aria-label="Required question"> *</span></div>
                  <div class="gubaDc OIC90c RjsPE" id="i2"></div>
                </div>
              </div>
              <div jscontroller="UmOCme" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;JIbuQc:RgMCxe(YlCLKb);sPvj8e:d3sQLd;TYy3Ne:RgMCxe;" class="oyXaNc" jsname="GCYh9b"><input type="hidden" name="entry.1351774028_sentinel" jsname="DTMEae">
                <div jscontroller="eFy6Rc" jsaction="sPvj8e:Gh295d" jsname="cnAzRb">
                  <div class="lLfZXe fnxRtf cNDBpf" jscontroller="wPRNsd" jsshadow="" jsaction="keydown:I481le;JIbuQc:JIbuQc;rcuQ6b:rcuQ6b" jsname="wCJL8" aria-labelledby="i1" aria-describedby="i2 i3" aria-required="true" role="radiogroup"><span
                      jsslot="" role="presentation" jsname="bN97Pc" class="H2Gmcc tyNBNd">
                      <div class="SG0AAe">
                        <div class="nWQGrd zwllIb"><label for="i5" class="docssharedWizToggleLabeledContainer ajBQVb">
                            <div class="bzfPab wFGF8">
                              <div class="d7L4fc bJNwt  FXLARc aomaEc ECvBRb">
                                <div id="i5" class="Od2TWd hYsg7c" jscontroller="EcW08c"
                                  jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
                                  jsshadow="" aria-label="Purchase directly with a fund on their website (BUPA, AHM etc)" data-value="Purchase directly with a fund on their website (BUPA, AHM etc)" aria-hidden="true" role="radio" aria-checked="false"
                                  aria-posinset="1" aria-setsize="3" tabindex="0">
                                  <div class="x0k1lc MbhUzd"></div>
                                  <div class="uyywbd"></div>
                                  <div class="vd3tt">
                                    <div class="AB7Lab Id5V1">
                                      <div class="rseUEf nQOrEb"></div>
                                    </div>
                                  </div>
                                </div>
                              </div>
                              <div class="YEVVod">
                                <div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Purchase directly with a fund on their website (BUPA, AHM etc)</span></div>
                              </div>
                            </div>
                          </label></div>
                        <div class="nWQGrd zwllIb"><label for="i8" class="docssharedWizToggleLabeledContainer ajBQVb">
                            <div class="bzfPab wFGF8">
                              <div class="d7L4fc bJNwt  FXLARc aomaEc ECvBRb">
                                <div id="i8" class="Od2TWd hYsg7c" jscontroller="EcW08c"
                                  jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
                                  jsshadow="" aria-label="Purchase through another comparison website" data-value="Purchase through another comparison website" aria-hidden="true" role="radio" aria-checked="false" aria-posinset="2" aria-setsize="3"
                                  tabindex="-1">
                                  <div class="x0k1lc MbhUzd"></div>
                                  <div class="uyywbd"></div>
                                  <div class="vd3tt">
                                    <div class="AB7Lab Id5V1">
                                      <div class="rseUEf nQOrEb"></div>
                                    </div>
                                  </div>
                                </div>
                              </div>
                              <div class="YEVVod">
                                <div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Purchase through another comparison website</span></div>
                              </div>
                            </div>
                          </label></div>
                        <div class="nWQGrd zwllIb"><label for="i11" class="docssharedWizToggleLabeledContainer ajBQVb">
                            <div class="bzfPab wFGF8">
                              <div class="d7L4fc bJNwt  FXLARc aomaEc ECvBRb">
                                <div id="i11" class="Od2TWd hYsg7c" jscontroller="EcW08c"
                                  jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
                                  jsshadow="" aria-label="Not purchase any new health insurance policy at all" data-value="Not purchase any new health insurance policy at all" aria-hidden="true" role="radio" aria-checked="false" aria-posinset="3"
                                  aria-setsize="3" tabindex="0">
                                  <div class="x0k1lc MbhUzd"></div>
                                  <div class="uyywbd"></div>
                                  <div class="vd3tt">
                                    <div class="AB7Lab Id5V1">
                                      <div class="rseUEf nQOrEb"></div>
                                    </div>
                                  </div>
                                </div>
                              </div>
                              <div class="YEVVod">
                                <div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Not purchase any new health insurance policy at all</span></div>
                              </div>
                            </div>
                          </label></div>
                      </div>
                    </span></div>
                </div>
              </div>
              <div jsname="Rfh2Tc" class="SL4Sz" id="i3" role="alert"></div>
            </div>
          </div>
        </div>
        <div class="Qr7Oae" role="listitem">
          <div jsmodel="CP1oW"
            data-params="%.@.[432462058,&quot;What do you think was the main reason for not purchasing with us?&quot;,null,2,[[1695762754,[[&quot;You weren't ready to purchase yet&quot;,null,null,null,false],[&quot;You found a better deal elsewhere&quot;,null,null,null,false],[&quot;We didn't have policies that meet your needs&quot;,null,null,null,false]],true,null,null,null,null,null,true,null,[]]],null,null,null,null,null,null,[null,&quot;What do you think was the main reason for not purchasing with us?&quot;]],&quot;i14&quot;,&quot;i15&quot;,&quot;i16&quot;,false]">
            <div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
              <div class="z12JJ">
                <div class="M4DNQ">
                  <div id="i14" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i17"><span class="M7eMe">What do you think was the main reason for not purchasing with us?</span><span class="vnumgf" id="i17"
                      aria-label="Required question"> *</span></div>
                  <div class="gubaDc OIC90c RjsPE" id="i15"></div>
                </div>
              </div>
              <div jscontroller="UmOCme" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;JIbuQc:RgMCxe(YlCLKb);sPvj8e:d3sQLd;TYy3Ne:RgMCxe;" class="oyXaNc" jsname="GCYh9b"><input type="hidden" name="entry.1695762754_sentinel" jsname="DTMEae">
                <div jscontroller="eFy6Rc" jsaction="sPvj8e:Gh295d" jsname="cnAzRb">
                  <div class="lLfZXe fnxRtf cNDBpf" jscontroller="wPRNsd" jsshadow="" jsaction="keydown:I481le;JIbuQc:JIbuQc;rcuQ6b:rcuQ6b" jsname="wCJL8" aria-labelledby="i14" aria-describedby="i15 i16" aria-required="true" role="radiogroup"><span
                      jsslot="" role="presentation" jsname="bN97Pc" class="H2Gmcc tyNBNd">
                      <div class="SG0AAe">
                        <div class="nWQGrd zwllIb"><label for="i18" class="docssharedWizToggleLabeledContainer ajBQVb">
                            <div class="bzfPab wFGF8">
                              <div class="d7L4fc bJNwt  FXLARc aomaEc ECvBRb">
                                <div id="i18" class="Od2TWd hYsg7c" jscontroller="EcW08c"
                                  jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
                                  jsshadow="" aria-label="You weren't ready to purchase yet" data-value="You weren't ready to purchase yet" aria-hidden="true" role="radio" aria-checked="false" aria-posinset="1" aria-setsize="3" tabindex="0">
                                  <div class="x0k1lc MbhUzd"></div>
                                  <div class="uyywbd"></div>
                                  <div class="vd3tt">
                                    <div class="AB7Lab Id5V1">
                                      <div class="rseUEf nQOrEb"></div>
                                    </div>
                                  </div>
                                </div>
                              </div>
                              <div class="YEVVod">
                                <div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">You weren't ready to purchase yet</span></div>
                              </div>
                            </div>
                          </label></div>
                        <div class="nWQGrd zwllIb"><label for="i21" class="docssharedWizToggleLabeledContainer ajBQVb">
                            <div class="bzfPab wFGF8">
                              <div class="d7L4fc bJNwt  FXLARc aomaEc ECvBRb">
                                <div id="i21" class="Od2TWd hYsg7c" jscontroller="EcW08c"
                                  jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
                                  jsshadow="" aria-label="You found a better deal elsewhere" data-value="You found a better deal elsewhere" aria-hidden="true" role="radio" aria-checked="false" aria-posinset="2" aria-setsize="3" tabindex="-1">
                                  <div class="x0k1lc MbhUzd"></div>
                                  <div class="uyywbd"></div>
                                  <div class="vd3tt">
                                    <div class="AB7Lab Id5V1">
                                      <div class="rseUEf nQOrEb"></div>
                                    </div>
                                  </div>
                                </div>
                              </div>
                              <div class="YEVVod">
                                <div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">You found a better deal elsewhere</span></div>
                              </div>
                            </div>
                          </label></div>
                        <div class="nWQGrd zwllIb"><label for="i24" class="docssharedWizToggleLabeledContainer ajBQVb">
                            <div class="bzfPab wFGF8">
                              <div class="d7L4fc bJNwt  FXLARc aomaEc ECvBRb">
                                <div id="i24" class="Od2TWd hYsg7c" jscontroller="EcW08c"
                                  jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
                                  jsshadow="" aria-label="We didn't have policies that meet your needs" data-value="We didn't have policies that meet your needs" aria-hidden="true" role="radio" aria-checked="false" aria-posinset="3" aria-setsize="3"
                                  tabindex="0">
                                  <div class="x0k1lc MbhUzd"></div>
                                  <div class="uyywbd"></div>
                                  <div class="vd3tt">
                                    <div class="AB7Lab Id5V1">
                                      <div class="rseUEf nQOrEb"></div>
                                    </div>
                                  </div>
                                </div>
                              </div>
                              <div class="YEVVod">
                                <div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">We didn't have policies that meet your needs</span></div>
                              </div>
                            </div>
                          </label></div>
                      </div>
                    </span></div>
                </div>
              </div>
              <div jsname="Rfh2Tc" class="SL4Sz" id="i16" role="alert"></div>
            </div>
          </div>
        </div>
        <div class="Qr7Oae" role="listitem">
          <div jsmodel="CP1oW"
            data-params="%.@.[1834225702,&quot;If we didn't have policies that meet your needs, what were we missing?\n\nIf you weren't ready to purchase yet, why?&quot;,null,0,[[1995054593,null,false,null,null,null,null,null,null,null,[]]],null,null,null,null,null,null,[null,&quot;If we didn't have policies that meet your needs, what were we missing?\u003cbr\u003e\u003cbr\u003eIf you weren't ready to purchase yet, why?&quot;]],&quot;i27&quot;,&quot;i28&quot;,&quot;i29&quot;,false]">
            <div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
              <div class="z12JJ">
                <div class="M4DNQ">
                  <div id="i27" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3"><span class="M7eMe">If we didn't have policies that meet your needs, what were we missing?<br><br>If you weren't ready to purchase yet, why?</span></div>
                  <div class="gubaDc OIC90c RjsPE" id="i28"></div>
                </div>
              </div>
              <div jscontroller="oCiKKc" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;sPvj8e:d3sQLd;AHmuwe:h06R8;" class="AgroKb">
                <div class="rFrNMe k3kHxc RdH0ib yqQS1 zKHdkd" jscontroller="pxq3x" jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV" jsshadow="" jsname="YPqjbf">
                  <div class="aCsJod oJeWuf">
                    <div class="aXBtI Wic03c">
                      <div class="Xb9hP"><input type="text" class="whsOnd zHQkBf" jsname="YPqjbf" autocomplete="off" tabindex="0" aria-labelledby="i27" aria-describedby="i28 i29" aria-disabled="false" dir="auto" data-initial-dir="auto"
                          data-initial-value="">
                        <div jsname="LwH6nd" class="ndJi5d snByac" aria-hidden="true">Your answer</div>
                      </div>
                      <div class="i9lrp mIZh1c"></div>
                      <div jsname="XmnwAc" class="OabDMe cXrdqd"></div>
                    </div>
                  </div>
                  <div class="LXRPh">
                    <div jsname="ty6ygf" class="ovnfwe Is7Fhb"></div>
                  </div>
                </div>
              </div>
              <div jsname="Rfh2Tc" class="SL4Sz" id="i29" role="alert"></div>
            </div>
          </div>
        </div>
        <div class="Qr7Oae" role="listitem">
          <div jsmodel="CP1oW"
            data-params="%.@.[1559860099,&quot;Enter your name and email address if you wish to be one of the first 20 to receive a gift card valued at $20&quot;,null,0,[[348449134,null,false,null,null,null,null,null,null,null,[]]],null,null,null,null,null,null,[null,&quot;Enter your name and email address if you wish to be one of the first 20 to receive a gift card valued at $20&quot;]],&quot;i31&quot;,&quot;i32&quot;,&quot;i33&quot;,false]">
            <div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
              <div class="z12JJ">
                <div class="M4DNQ">
                  <div id="i31" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3"><span class="M7eMe">Enter your name and email address if you wish to be one of the first 20 to receive a gift card valued at $20</span></div>
                  <div class="gubaDc OIC90c RjsPE" id="i32"></div>
                </div>
              </div>
              <div jscontroller="oCiKKc" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;sPvj8e:d3sQLd;AHmuwe:h06R8;" class="AgroKb">
                <div class="rFrNMe k3kHxc RdH0ib yqQS1 zKHdkd" jscontroller="pxq3x" jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV" jsshadow="" jsname="YPqjbf">
                  <div class="aCsJod oJeWuf">
                    <div class="aXBtI Wic03c">
                      <div class="Xb9hP"><input type="text" class="whsOnd zHQkBf" jsname="YPqjbf" autocomplete="off" tabindex="0" aria-labelledby="i31" aria-describedby="i32 i33" aria-disabled="false" dir="auto" data-initial-dir="auto"
                          data-initial-value="">
                        <div jsname="LwH6nd" class="ndJi5d snByac" aria-hidden="true">Your answer</div>
                      </div>
                      <div class="i9lrp mIZh1c"></div>
                      <div jsname="XmnwAc" class="OabDMe cXrdqd"></div>
                    </div>
                  </div>
                  <div class="LXRPh">
                    <div jsname="ty6ygf" class="ovnfwe Is7Fhb"></div>
                  </div>
                </div>
              </div>
              <div jsname="Rfh2Tc" class="SL4Sz" id="i33" role="alert"></div>
            </div>
          </div>
        </div>
      </div>
      <div class="ThHDze" jscontroller="lSvzH" jsaction="rcuQ6b:npT2md;JIbuQc:qV61Ff(X5DuWc),Gl574d(QR6bsb),V3upec(GeGHKb),HiUbje(M2UYVd),NPBnCf(OCpkoe); keydown:duASZc" data-shuffle-seed="-7920030211095367807"
        data-should-execute-invisible-captcha-challenge="false" data-is-receipt-checked="false">
        <div class="DE3NNc CekdCb">
          <div class="lRwqcd">
            <div role="button" class="uArJ5e UQuaGc Y5sE8d VkkpIf QvWxOd" jscontroller="VXdfxd"
              jsaction="click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;"
              jsshadow="" jsname="M2UYVd" tabindex="0">
              <div class="Fvio9d MbhUzd" jsname="ksKsZd"></div>
              <div class="e19J0b CeoRYc"></div><span jsslot="" class="l4V7wb Fxmcue"><span class="NPEfkd RveJvd snByac">Submit</span></span>
            </div>
          </div>
          <div class="bEJm0e">
            <div class="cJ3RAd graCKc" aria-valuenow="100" aria-valuemin="0" aria-valuemax="100" aria-labelledby="lpd4pf" role="progressbar">
              <div class="Jo4Fpf iib5kc" style="width:100%"></div>
            </div>
            <div id="lpd4pf" class="HZh16d" aria-hidden="true">Page 1 of 1</div>
          </div>
          <div class="nYdzXd">
            <div role="button" class="uArJ5e UQuaGc kCyAyd l3F1ye TFBnVe" jscontroller="VXdfxd"
              jsaction="click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;"
              jsshadow="" jsname="X5DuWc" tabindex="0">
              <div class="Fvio9d MbhUzd" jsname="ksKsZd"></div>
              <div class="e19J0b CeoRYc"></div><span jsslot="" class="l4V7wb Fxmcue"><span class="NPEfkd RveJvd snByac">Clear form</span></span>
            </div>
          </div>
        </div>
        <div class="T2dutf">Never submit passwords through Google Forms.</div>
      </div><input type="hidden" name="fvv" value="1"><input type="hidden" name="partialResponse" value="[null,null,&quot;-7920030211095367807&quot;]"><input type="hidden" name="pageHistory" value="0"><input type="hidden" name="fbzx"
        value="-7920030211095367807"><input type="hidden" name="submissionTimestamp" value="-1">
    </div>
  </div>
</form>

Text Content

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable
and reload.


Compare Club Health Insurance Survey


Sign in to Google to save your progress. Learn more

* Indicates required question
We're sorry we didn't meet your needs in purchasing a new health policy. Did
you: *

Purchase directly with a fund on their website (BUPA, AHM etc)
Purchase through another comparison website
Not purchase any new health insurance policy at all

What do you think was the main reason for not purchasing with us? *

You weren't ready to purchase yet
You found a better deal elsewhere
We didn't have policies that meet your needs

If we didn't have policies that meet your needs, what were we missing?

If you weren't ready to purchase yet, why?

Your answer




Enter your name and email address if you wish to be one of the first 20 to
receive a gift card valued at $20

Your answer





Submit
Page 1 of 1

Clear form
Never submit passwords through Google Forms.
This form was created inside Compare Club. Report Abuse
 Forms