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At Quick Quote Insurance, we have access to all of the UK’s most reputable life insurance providers.

This means that we are able to find you the best possible life insurance at the lowest possible prices, all tailored to you and your needs.

We pride ourselves in being able to provide our customers with complete protection for their loved ones in the event of death and have experts on hand to guide you through the buying process.

Get a free, non-obligatory quote on life insurance by filling in the form below.

First Name

Last Name

Date of birth *

Your Title Mr Mrs Miss Ms

Is your biological sex either Male Female Intersex

Address line 1

Postcode

Telephone Number

Do you want to add a second applicant? No Yes

How much cover do you need?

How long do you need your policy to last?
This is the number of years you will be protected by the policy.

What type of cover do you need?
Level term policies pay out a fixed amount no matter when you claim during the policy term.
Decreasing term policies reduce the amount that's paid out over time. They are typically taken out to cover a repayment mortgage. Level term Decreasing term

I agree
I agree to quickquoteinsurance.co.uk sharing the medical data I provide with necessary third party partners who need this information in order to give me a quote. We treat your information according to quickquoteinsurance.co.uk's terms and conditions and privacy policy.

About you and your lifestyle

Please tell us some things about yourself:

How tall are you?

How much do you weigh?

What is your job?

Are you a smoker?
You are classed as a smoker if you have smoked or used any tobacco related products (including nicotine patches or e-cigarettes) within the last 12 months. Yes No

What is your average daily consumption of cigarettes over the last year?

What is your average daily consumption of cigars over the last year?

What is your average daily consumption of other tobacco (in grams) over the last year?

Which of these bests apply to you? I have never smoked I used to smoke but stopped over a year ago I've smoked in the last year but not every day I've vaped or used e-cigarettes in the last year I've used other nicotine replacement products in the last year

Please tell us some general things about your lifestyle:

How many pints of beer, lager or cider do you drink per week?

How many glasses of wine do you drink per week?

How many measures of spirits do you drink per week?

How many other alcoholic drinks do you drink per week?

Have any of these applied to you? I've been advised by a medical professional to cut down or stop drinking alcohol I've been referred for alcohol or drug specialist support such as Alcoholics or Narcotics Anonymous I've used recreational drugs in the last 10 years No

Are you involved in any of these? Armed forces (including reserves) Scuba diving Private flying, gliding or parachuting Motor car or motorcycle sport Mountaineering or rock climbing Sailing at sea or powerboat racing No

Have any of these applied to you? I've been banned from driving or convicted of dangerous or careless driving in the last 5 years I ride a motorbike, scooter or moped on the road No

Have you lived, worked or travelled outside the UK or European Union in the last 5 years, or do you have any plans to do so in the next year?
You don't need to tell us about:

- Business trips of less than a week
- Holidays less than 30 days

Yes No

Do you have existing Life insurance or are you applying for any other Life insurance?* Yes No

Do you have existing Critical Illness insurance or are you applying for any other Critical Illness insurance? Yes No

Additional Lifestyle Questions

Occupation:

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