General Questionnaire For Dialing Session

Use Questionnaire To Uncover The Following Types Of Leads: Cell Phone - Cancer Test - Real Estate - Final Expense Insurance - Prescription Cards - Technology - Vacation Voucher - Restaurant Voucher

Agent Name

Date

Time

ClientPhone

ClientEMAIL

ClientStreetAddressCityStateZip

What-BenefitsAreReceivedNow

FE-SSI-Disability-EBT-Medicaid-Medicare-Dental-Vision-Auto-Coverage-Health-Other-TANF-WIC-Welfare

ClientAge

Prescriptions

Rent-Own

YES-NO-Do-you-have-health-insurance

YES-NO-Are-You-The-head-of-the-household

Vacation-Cancun-Puerto-Penasco-Mazatlan-Orlando-Vegas-Branson-Williamsburg-Gatlinburg-Acapulco-Tener

YES-NO-EAT-OUT

QuickQuoteGivenFor

YES-NO-Have-Any-Relatives-Had-Cancer

F2FAppointment

AddToDatabaseForMailing

You qualify for: Restaurant Voucher - Vacation Voucher - Cancer Test - Prescription Discount Cards - Final Expense Coverage-Cancer Test-Free Government Cell Phone