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Home insurance questionnaire

Your home insurance study, in five minutes.

Answer what applies to you: only your contact details are required. The more precise you are, the more accurate our proposal. Documents can reach us later.

Fill it in online (5 min)

An adviser gets back to you within 24 working hours with a compared proposal, in English.

Your answers are used for your study only: never sold, never shared without your consent.

No time to fill in everything? Send the essentials, we complete the rest together by phone.

Prefer paper?

The same questionnaire exists as a PDF: fill it in on screen or by hand, then send it back to info@assudire.fr or drop it at the agency.

Download the PDF questionnaire

Or simply book a meeting: we fill it in together.

6 steps · about 5 minutesOnly your contact details are required
1You

The policyholder.

Title
Marital status
Status
2The property

The property to insure.

Type
Residence
You are
Property located in France
m²
Floor (flats)
m²
Conservatory
Swimming pool
Solar panels
Fireplace or stove
Security
3Your contents
€
€
Specific items
4Your insurance history

Your claims record (relevé d'informations) will confirm these details; without it, we prepare a first estimate.

Currently insured
€ / year
Claims in the last 36 months on this property (including non-fault)
DateType (water damage, theft, fire…)Amount paid (€)
Cancelled by an insurer in the last 36 months
5Your needs
Cover wanted
Level of cover
Excess
Payment
Start date wanted
€ / year
6Documents to attach

Photos or scans are fine.

Your current insurer issues the claims record on request. Without it we prepare a first estimate; the final premium depends on it.

See home insurance

Reply within 24 working hours · No obligation · You receive a copy of your request

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