Legal and finance

Insurance quote

Car, home, travel and life insurance each ask their own questions, and claims open a count. Free to use with FillKite.

What is in this form

Your name (required)
Email (required)
What do you want to insure? (required)
Year of the car (required)
Any claims in the last 5 years? (required)
How many claims? (required)
Do you rent or own? (required)
Where are you going? (required)
Do you smoke? (required)

How the conditional logic works

This form shows or hides fields as people answer, so everyone sees only what matters to them.

“Year of the car” appears only when “What do you want to insure?” is “Car”.
“Any claims in the last 5 years?” appears only when “What do you want to insure?” is “Car” or “What do you want to insure?” is “Home”.
“How many claims?” appears only when “Any claims in the last 5 years?” is “Yes”.
“Do you rent or own?” appears only when “What do you want to insure?” is “Home”.
“Where are you going?” appears only when “What do you want to insure?” is “Travel”.
“Do you smoke?” appears only when “What do you want to insure?” is “Life”.

Use it on your site

Install FillKite free from WordPress.org.
Download this form with the button above.
Go to FillKite → Import → From a FillKite file, choose the file and import it.

Questions

About this form

Is the insurance quote form free?

Yes. It works with the free FillKite plugin, and you can download it and change it as you like.

Is anything I type saved?

No. This demo runs in test mode: FillKite checks your answers like a real form, but nothing is saved and no email is sent.

How do I use this form on my site?

Install FillKite, download the form with the button on this page, then go to FillKite → Import → From a FillKite file and choose the file. After importing, open it in the builder, change anything you like and add it to a page.

Does this form use conditional logic?

Yes. 6 fields or notices show only when earlier answers call for it. “Year of the car” appears only when “What do you want to insure?” is “Car”.

What fields does it have?

It has 9 fields: Your name, Email, What do you want to insure?, Year of the car, Any claims in the last 5 years?, How many claims?, Do you rent or own?, Where are you going? and more.

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