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 currently waiting for a diagnosis, a hospital or specialist appointment or the results of any investigations for any medical condition?

Yes

No

In the last 12 months have you had, or been diagnosed with: a heart attack, stroke, cancer (or recurrence), or a terminal illness?

Yes

No

In the last five years have you had, or been diagnosed with, a heart attack, a stroke or cancer?

Yes

No

Thank you for answering the additional medical questions.

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