Pet insurance quote form template
This five-step pet insurance quote form asks the kind of pet, its age, any pre-existing conditions and the level of cover wanted, followed by the contact details. You can clone it into your Growform account and add your policy tiers.
What the form asks, step by step
Pet insurance premiums depend on the animal, its age and its health. The form asks all three before the owner chooses a level of cover.
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Step 1: “What kind of pet do you have?”
Dogs, cats and birds are rated differently by most insurers.
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Step 2: “How old is your pet?”
Age bands matter because premiums rise as pets get older.
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Step 3: “Does your pet have any pre-existing conditions?”
A yes flags exclusions that should be explained before quoting.
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Step 4: “What is your coverage preference?”
Basic, comprehensive or emergency cover shows which policy to quote first.
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Step 5: “How shall we contact you?”
Name, email and phone come last.
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After submitting
Owners see the standard thank-you, which a broker would change to say how soon quotes will arrive.
Who it’s for
Pet insurance brokers, insurers and comparison sites use this template to collect quote requests. Owners asking for a pet insurance quote usually know the animal, its age and whether it has health problems, so every step is easy to answer. The coverage question tells you which policy to present first, and the conditions answer prepares you for the questions owners ask most.
Why this structure converts
- Owners enjoy answering questions about their pet, which carries them into the form.
- “Not sure” is offered for pre-existing conditions, so nobody stops at a question they cannot answer.
- The cover question comes last, after the owner has described the animal.
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Make it yours
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Add the breed
Breed affects premiums for dogs and cats. Add a dropdown or text field after pet type for accurate quotes.
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Add a consent checkbox
If leads go to partner insurers, add a consent checkbox to the contact step and turn on TrustedForm.
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Show a price range
Growform can calculate an indicative price from the answers and show it on the thank-you screen.
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Frequently asked questions
What does a pet insurance form ask?
It asks the type of pet, its age, any existing conditions and the kind of cover wanted. Breed and location are useful additions for more precise pricing.
Can I give an instant pet insurance quote?
You can show an indicative figure calculated from the answers, then confirm the final premium in your follow-up.
Where do quote requests go?
They are emailed to you, and Growform can also send them to HubSpot, Salesforce, AgencyZoom or a Google Sheet.
What happens next?
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Step 1: Clone this form template
Clone this template into your Growform account (create one first if you don’t already have one). -
Step 2: Edit your form
Get creative and adjust your form's theme options, questions or layout in the Growform form builder. -
Step 3: Share or embed your form
Share a link to your form, or embed it in your existing website. Receive new submissions by email or send them to 7,000+ apps via Zapier.
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