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VeriSure

Your Full Name

Email address

*

Phone number (optional)

*

What country do you live in?

*

Which age group do you belong to?

*

Which age group do you belong to?

A

18-25

B

26-35

C

36-45

D

46-55

E

56+

What type(s) of insurance do you currently use?

*

What type(s) of insurance do you currently use?

A

None

B

Health

C

Property / home

D

Auto

E

Life

F

Travel

What frustrates you most about traditional insurance?

A

High premiums

B

Slow claims process

C

Lack of transparency

D

No trust in insurers

E

Hard to access services

F

Fraud and denied claims

Would you try a blockchain-powered insurance platform like VeriSure?

*

Would you try a blockchain-powered insurance platform like VeriSure?

Yes - definitely

Maybe - I'd like to know more

Not sure yet

What excites you most about VeriSure?

*

What excites you most about VeriSure?

A

Lower premium

B

Instant/transparent claims

C

Blockchain security

D

Self-service experience

E

Community driven model

Would you like to become a Beta Tester when VeriSure launches?

*

Would you like to become a Beta Tester when VeriSure launches?

Yes - count me in

No - just keep me updated

In what capacity would you like to join?

*

In what capacity would you like to join?

A

Customer

B

Insurance agent

C

Partner / investor

D

Advocate / Ambassador