Please select the questionnaire for the insurance you are interest in

Personal Data

 

Health Data

    Allergies

  • Cardiovascular diseases

  • Heart Attack

  • Angina

  • Varicose veins

  • Skin disease

  • Digestive diseases

  • Ulcer in the stomach or duodenum

  • Diaphragmatic hernia

  • Endocrine disorders

  • Diabetes

  • Goiter

  • Gout disorders

  • Urogenital diseases

  • Renal colic (stones)

  • Hysterectomy (removal of the uterus/ovaries)

  • Renal insufficiency

  • Liver disease

  • Hepatitis

  • Cirrhosis

  • Biliary colic, liver colic or gallstones

  • Diseases of bone/muscle

  • Disc prolapse

  • Rheumatism

  • Arthrosis

  • Osteoporosis

  • Knee and meniscus injuries

  • Neurological diseases

  • Brain embolism/thrombosis

  • Epilepsy

  • Meningitis

  • Paralysis

  • Depression

  • Other neurological diseases

  • Diseases of the respiratory tract

  • Asthma

  • Chronic Bronchitis

  • Pneumonia

  • Tuberculosis

  • High blood pressure

  • Tumours

  • Eye disorders and visual disturbances

  • Diseases or disorders of the nose

  • Suffering or suffered from diseases that are not listed

  • Suffering or suffered injuries affecting physical disorders

  • The impact and/or limitations associated with the disease (disability, etc.)

  • Consumption of tobacco

  • Do you take any medicine?

  • Take a drug?

  • Have you ever suffered an injury or accident?

  • Past surgical procedures

  • Have you had an HIV test?

  • Have you seen a doctor in the last 6 months?

  • Have you had an examination with diagnosis or before a treatment?

  • By pressing the "Send" button you agree to the following condition on the LOPD (Organic Law on Data Protection). For the purposes of the provisions of Law 15/1999, of December 13, Protection of Personal Data, and Law 34/2002 of July 11, Services Information Society and Electronic Mail (LSSI), Hainzl & Partner guarantees the confidentiality of the personal data of the user. You acknowledge and consent to the personal data provided being stored by the company, the recipient of the information, in order to provide the services to which the company is dedicated and to communicate with the applicant. In no case shall the aforementioned data be processed or assigned to third parties without the unequivocal consent of the applicant, or in the cases provided for in Articles 6.1 and 11.2 of Law 15/1999 of 13 December Protection of Personal data. In compliance with the provisions of Law 15/1999, the user can exercise their rights of access, rectification, cancellation and opposition to the company by any reliable means and at any time.
 

Verification

 

Personal Data

  • By pressing the "Send" button you agree to the following condition on the LOPD (Organic Law on Data Protection). For the purposes of the provisions of Law 15/1999, of December 13, Protection of Personal Data, and Law 34/2002 of July 11, Services Information Society and Electronic Mail (LSSI), Hainzl & Partner guarantees the confidentiality of the personal data of the user. You acknowledge and consent to the personal data provided being stored by the company, the recipient of the information, in order to provide the services to which the company is dedicated and to communicate with the applicant. In no case shall the aforementioned data be processed or assigned to third parties without the unequivocal consent of the applicant, or in the cases provided for in Articles 6.1 and 11.2 of Law 15/1999 of 13 December Protection of Personal data. In compliance with the provisions of Law 15/1999, the user can exercise their rights of access, rectification, cancellation and opposition to the company by any reliable means and at any time.
 

Verification

 

Personal Data

 

General data on buildings and land or apartment

 

Other installations

 

Fuses

 

Insurance limits

 

Valuables

  • By pressing the "Send" button you agree to the following condition on the LOPD (Organic Law on Data Protection). For the purposes of the provisions of Law 15/1999, of December 13, Protection of Personal Data, and Law 34/2002 of July 11, Services Information Society and Electronic Mail (LSSI), Hainzl & Partner guarantees the confidentiality of the personal data of the user. You acknowledge and consent to the personal data provided being stored by the company, the recipient of the information, in order to provide the services to which the company is dedicated and to communicate with the applicant. In no case shall the aforementioned data be processed or assigned to third parties without the unequivocal consent of the applicant, or in the cases provided for in Articles 6.1 and 11.2 of Law 15/1999 of 13 December Protection of Personal data. In compliance with the provisions of Law 15/1999, the user can exercise their rights of access, rectification, cancellation and opposition to the company by any reliable means and at any time.
 

Verification

 

Personal Data

 

Car Data

  • By pressing the "Send" button you agree to the following condition on the LOPD (Organic Law on Data Protection). For the purposes of the provisions of Law 15/1999, of December 13, Protection of Personal Data, and Law 34/2002 of July 11, Services Information Society and Electronic Mail (LSSI), Hainzl & Partner guarantees the confidentiality of the personal data of the user. You acknowledge and consent to the personal data provided being stored by the company, the recipient of the information, in order to provide the services to which the company is dedicated and to communicate with the applicant. In no case shall the aforementioned data be processed or assigned to third parties without the unequivocal consent of the applicant, or in the cases provided for in Articles 6.1 and 11.2 of Law 15/1999 of 13 December Protection of Personal data. In compliance with the provisions of Law 15/1999, the user can exercise their rights of access, rectification, cancellation and opposition to the company by any reliable means and at any time.
 

Verification

 

Personal Data

 

Boat Data

  • By pressing the "Send" button you agree to the following condition on the LOPD (Organic Law on Data Protection). For the purposes of the provisions of Law 15/1999, of December 13, Protection of Personal Data, and Law 34/2002 of July 11, Services Information Society and Electronic Mail (LSSI), Hainzl & Partner guarantees the confidentiality of the personal data of the user. You acknowledge and consent to the personal data provided being stored by the company, the recipient of the information, in order to provide the services to which the company is dedicated and to communicate with the applicant. In no case shall the aforementioned data be processed or assigned to third parties without the unequivocal consent of the applicant, or in the cases provided for in Articles 6.1 and 11.2 of Law 15/1999 of 13 December Protection of Personal data. In compliance with the provisions of Law 15/1999, the user can exercise their rights of access, rectification, cancellation and opposition to the company by any reliable means and at any time.
 

Verification

 

Personal Data

  • By pressing the "Send" button you agree to the following condition on the LOPD (Organic Law on Data Protection). For the purposes of the provisions of Law 15/1999, of December 13, Protection of Personal Data, and Law 34/2002 of July 11, Services Information Society and Electronic Mail (LSSI), Hainzl & Partner guarantees the confidentiality of the personal data of the user. You acknowledge and consent to the personal data provided being stored by the company, the recipient of the information, in order to provide the services to which the company is dedicated and to communicate with the applicant. In no case shall the aforementioned data be processed or assigned to third parties without the unequivocal consent of the applicant, or in the cases provided for in Articles 6.1 and 11.2 of Law 15/1999 of 13 December Protection of Personal data. In compliance with the provisions of Law 15/1999, the user can exercise their rights of access, rectification, cancellation and opposition to the company by any reliable means and at any time.
 

Verification

 

Personal Data

  • By pressing the "Send" button you agree to the following condition on the LOPD (Organic Law on Data Protection). For the purposes of the provisions of Law 15/1999, of December 13, Protection of Personal Data, and Law 34/2002 of July 11, Services Information Society and Electronic Mail (LSSI), Hainzl & Partner guarantees the confidentiality of the personal data of the user. You acknowledge and consent to the personal data provided being stored by the company, the recipient of the information, in order to provide the services to which the company is dedicated and to communicate with the applicant. In no case shall the aforementioned data be processed or assigned to third parties without the unequivocal consent of the applicant, or in the cases provided for in Articles 6.1 and 11.2 of Law 15/1999 of 13 December Protection of Personal data. In compliance with the provisions of Law 15/1999, the user can exercise their rights of access, rectification, cancellation and opposition to the company by any reliable means and at any time.
 

Verification

 

Personal Data

 

Commercial Data

 

Security

  • By pressing the "Send" button you agree to the following condition on the LOPD (Organic Law on Data Protection). For the purposes of the provisions of Law 15/1999, of December 13, Protection of Personal Data, and Law 34/2002 of July 11, Services Information Society and Electronic Mail (LSSI), Hainzl & Partner guarantees the confidentiality of the personal data of the user. You acknowledge and consent to the personal data provided being stored by the company, the recipient of the information, in order to provide the services to which the company is dedicated and to communicate with the applicant. In no case shall the aforementioned data be processed or assigned to third parties without the unequivocal consent of the applicant, or in the cases provided for in Articles 6.1 and 11.2 of Law 15/1999 of 13 December Protection of Personal data. In compliance with the provisions of Law 15/1999, the user can exercise their rights of access, rectification, cancellation and opposition to the company by any reliable means and at any time.
 

Verification