Q01
Message
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Fire Insurance Coverage Experience & Renewal Survey
Measures how policyholders perceive their fire insurance coverage, pricing, and claims experience, and what drives renewal or switching decisions. Built for insurers and brokers benchmarking product-market fit, with an AI follow-up that reconstructs the real story behind a claim or a low renewal score instead of just the rating.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
14 questions · ~7 min
Q02
Multiple ChoiceRequired
Which best describes your relationship to fire insurance today?
- Current fire insurance policyholder
- Previously had fire insurance, did not renew
- Currently shopping for fire insurance
- Never purchased fire insurance
Q03
Opinion ScaleRequired
Overall, how protected does your fire insurance coverage make you feel against fire-related loss?
Scale: 1 – 7
Min:Not at all protectedMax:Completely protected
Q04
Multiple ChoiceRequired
In the past 12 months, have you filed a fire-related insurance claim?
- Yes, and it was resolved
- Yes, and it's still open
- No, but I considered filing one
- No
Q05
Rating ScaleRequired
How clear is your policy about what fire damage is and isn't covered?
Range: 1 – 5
Min:Very unclearMax:Very clear
Q06
Matrix
How much do you agree with each statement about your fire insurance provider?
5 rows × 5 columns
- My insurer communicates clearly about coverage changes
- My premium reflects my property's actual fire risk
- Filing a claim would be (or was) straightforward
- I trust my insurer to pay a fire claim fully and fairly
- My insurer offers useful risk-reduction resources (e.g., smoke detector or sprinkler discounts)
Columns: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q07
Point AllocationRequired
Thinking about how you chose (or would choose) a fire insurance provider, allocate 100 points across these factors based on how much each influenced your decision.
- Premium cost
- Breadth of fire damage coverage
- Insurer's reputation and trust
- Agent or broker recommendation
- Speed and ease of the claims process
- Discounts for fire-safety measures
Allocate 100 points
Q08
Best–Worst Trade-off (MaxDiff)Required
When choosing a fire insurance policy, which of these matters most and least to you?
- Low deductible
- High rebuild/replacement cost coverage
- Add-on coverage for wildfire or natural disaster risk
- Fast claims processing
- 24/7 customer support
- Discounts for smoke detectors or sprinklers
- Transparent, easy-to-understand policy language
Pick best & worst per setBest:Matters mostWorst:Matters least
Q09
Opinion ScaleRequired
How likely are you to renew your fire insurance policy with your current provider?
Scale: 0 – 10
Min:Not at all likelyMax:Extremely likely
Q10
AI Interview
Explore the reasoning behind the respondent's renewal likelihood score. If they filed a fire-related claim, reconstruct what happened end-to-end: how they reported it, how long payout took, and whether the payout matched expectations. If they haven't filed a claim, probe what would make them trust their insurer to pay out fairly. For low renewal scores, dig into whether the driver is price, a coverage gap, or a bad claims experience, and ask what would change their mind.
Q11
Price Sensitivity (Van Westendorp)Required
Now a few questions about what you'd expect to pay annually for solid fire insurance coverage on your home.
- At what annual premium would fire insurance coverage feel so cheap that you'd question whether it actually provides adequate protection?
- At what annual premium would you consider fire insurance coverage a bargain — a great deal for the protection provided?
- At what annual premium would you begin to feel fire insurance coverage is expensive, though you might still consider buying it?
- At what annual premium would you consider fire insurance coverage too expensive to purchase, regardless of the protection offered?
Q12
Multiple Choice
Which best describes the property you insure (or would insure)?
- Single-family home
- Condo or apartment
- Multi-family rental property
- Commercial property
- Prefer not to say
Q13
Multiple Choice
Which age range do you fall into?
- Under 25
- 25-34
- 35-44
- 45-54
- 55-64
- 65 or older
- Prefer not to say
Q14
Message
That's everything — thank you! Your responses will be combined with others to help improve fire insurance coverage, pricing, and claims support.
What’s included
AI follow-ups
Adaptive probes on open-ended answers that pull out detail a static form would miss.
Attention checks
Built-in safeguards against rushed answers and low-quality respondents.
AI-drafted copy
Wording, ordering, and branching written by the AI — tuned to your research goal.
Auto report
Themes, quotes, and a plain-English summary write themselves once responses come in.
How it compares
We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.
Why this template
- Opens with a quick context question on relationship to fire insurance, then an opinion-scale item on how protected the policyholder feels — capturing perception, not just satisfaction.
- Includes a rating question on policy clarity plus a matrix of agreement statements about the provider, giving structured multi-attribute feedback in one pass.
- Uses constant-sum allocation and MaxDiff to force trade-offs on what actually drives provider choice, rather than relying on simple rankings.
- An AI follow-up interview specifically digs into the reasoning behind a respondent's renewal likelihood score (or a recent claim), reconstructing the real story instead of stopping at the number, and pairs with a Van Westendorp pricing series for expected annual premiums.
QuestionPro
Fire insurance survey questions + sample questionnaire templateThis is QuestionPro's fire insurance page, pairing a sample questionnaire with explanatory guidance on question types — it reads more like a reference guide than a ready-to-field digital template. It covers similar ground (coverage perception, pricing, claims) but as static, fixed-text items. There's no indication of adaptive follow-up or automated scoring built into the flow.
What it does well
- Established survey platform with broad question-type library and export/reporting tools
- Provides sample questionnaire wording specific to fire insurance, useful as a drafting reference
- Likely customizable within QuestionPro's own survey builder once adapted from the sample
Where it falls short
- No adaptive AI interview capability — every respondent sees the same fixed question set regardless of answers
- No mechanism to probe the story behind a low renewal score or claim beyond follow-up text boxes
- No automated per-response quality scoring or transparent AI prompt documentation
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.