This is a sample Compulife Software, Inc. website to show you what
the Health Analyzer looks like on the input page.



Instant Life Insurance Quote
Province: 
Birthdate: 
Gender:  Male     Female 
 Have you ever smoked 
or used tobacco? 		 Yes    No 
Height:  feet    inches
Weight:  lbs.
 Have you ever had, or been 
 treated for, high blood pressure? 		 Yes    No 
 Have you ever had, or been 
 treated for, high cholesterol? 		 Yes    No 
 Type of Insurance:   
Face Amount: 

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