Are you happy to answer up to 3 quick medical questions to see if you qualify for a higher benefit amount?

Yes

No

It is important to answer all questions truthfully and accurately otherwise a policy may not pay out in the event of a claim.

Are you undergoing or awaiting any consultations, investigations, or test results with a GP or Specialist, for any medical condition that has not yet been formally diagnosed?

Yes

No

In the last 12 months have you had, been diagnosed with, received treatment for, or attended a consultation due to: heart disease, a stroke, cancer (or recurrence), chronic obstructive pulmonary disease/emphysema or a terminal illness?

Yes

No

In the last five years have you had, been diagnosed with, received treatment for, or attended a consultation due to: heart disease, a stroke, cancer or chronic obstructive pulmonary disease/emphysema?

Yes

No

Thank you for answering the additional medical questions.

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