EmblemProtects On-Line Survey Questions

First name:
Last name:
Email address:

1. Have you or a member of your immediate family ever been a victim of identity theft?

2. Have you used an identity theft monitoring service in the past?

Yes     No

a. If “yes,” do you still maintain that service?

b. If “no,” how likely would you be to purchase an identity theft monitoring service in the future (1- very likely, 2-somewhat likely, 3-not likely)?

1     2     3

3. What other type of health, financial wellness and well-being products would you like to have access to?

4. Are you - Male     Female

5. Are you - Married     Single

6. Are there children in your household ? - Yes     Single