Personal Risk Management - Needs Indicator Insurance Needs Calculator You can use this form to assess your exposure to life and disability risks which could financially impact you or your dependents. IMPORTANT NOTE: PLEASE READ: By using this calculator, you acknowledge and accept that the calculations in this quiz are designed as an indication of your needs - they are not personalised advice. If you are unsure or would like personalised advice on your specific needs and how to structure your insurance programme, we recommend you seek advice from a qualified adviser. First Name * Surname * Your email address * Phone Number Numbers only please Does anyone in your life rely on you financially? * Yes No Are you a stay-at-home parent with dependent children and partner on whose income you rely? Yes No Life Insurance Needs