inputSchema: type: object properties: title: Commercial Insurance Questionnaire pages: - id: 1 name: business_name label: Business Name hint: Legal business name type: text options: [] required: true - id: 2 name: business_address label: Business Address hint: Complete address type: text options: [] required: true - id: 3 name: contact_name label: Contact Name hint: Primary contact type: text options: [] required: true - id: 4 name: contact_email label: Contact Email hint: Email address type: email options: [] required: true - id: 5 name: contact_phone label: Contact Phone hint: Phone number type: text options: [] required: true - id: 6 name: section_header_business_operations label: -- Business Operations -- hint: null type: note options: [] required: false - id: 7 name: business_structure label: Business Structure hint: Legal structure type: select_one options: - Sole Proprietorship - Partnership - Corporation - LLC - Non-Profit required: true - id: 8 name: industry_classification label: Industry Classification hint: Primary industry type: select_one options: - Retail - Office/Professional - Manufacturing - Warehouse - Restaurant - Hotel - Healthcare - Auto Service - Other required: true - id: 9 name: years_operating label: Years Operating hint: Time in business type: select_one options: - Less than 1 year - 1-3 years - 3-5 years - 5-10 years - 10+ years required: true - id: 10 name: number_of_locations label: Number of Locations hint: How many business locations type: number options: [] required: true - id: 11 name: section_header_property_details label: -- Property Details -- hint: null type: note options: [] required: false - id: 12 name: building_ownership label: Building Ownership hint: Do you own the building type: select_one options: - Own Building and Land - Own Building Lease Land - Lease or Rent - Condominium required: true - id: 13 name: year_built label: Year Built hint: Construction year type: number options: [] required: false - id: 14 name: construction_type label: Construction Type hint: Building materials type: select_one options: - Wood Frame - Masonry - Steel Frame - Concrete - Mixed required: true - id: 15 name: total_square_footage label: Total Square Footage hint: Building size type: number options: [] required: true - id: 16 name: building_replacement_cost label: Building Replacement Cost hint: Estimated cost to rebuild type: number options: [] required: false - id: 17 name: business_personal_property label: Business Personal Property Value hint: Equipment inventory etc type: number options: [] required: true - id: 18 name: section_header_liability label: -- Liability Exposure -- hint: null type: note options: [] required: false - id: 19 name: customer_visits label: Customer Visits Premises hint: Do customers visit your location type: select_one options: - Yes Frequently - Yes Occasionally - Rarely - 'False' required: true - id: 20 name: products_sold label: Products Sold hint: Do you sell products type: select_one options: - 'True' - 'False' required: true - id: 21 name: services_provided label: Services Provided hint: Do you provide services type: select_one options: - 'True' - 'False' required: true - id: 22 name: professional_advice label: Do You Provide Professional Advice hint: Consulting or advisory services type: select_one options: - 'True' - 'False' required: true - id: 23 name: section_header_vehicles label: -- Business Vehicles -- hint: null type: note options: [] required: false - id: 24 name: business_vehicles label: Number of Business Vehicles hint: Owned or leased vehicles type: number options: [] required: true - id: 25 name: vehicle_types label: Vehicle Types hint: Types of vehicles type: select_multiple options: - Cars - Trucks - Vans - Trailers - Heavy Equipment - None required: false - id: 26 name: section_header_employees label: -- Employees -- hint: null type: note options: [] required: false - id: 27 name: total_employees label: Total Number of Employees hint: Full and part time type: number options: [] required: true - id: 28 name: payroll_amount label: Annual Payroll Amount hint: Total annual payroll type: number options: [] required: true - id: 29 name: section_header_claims_history label: -- Claims History -- hint: null type: note options: [] required: false - id: 30 name: prior_claims label: Prior Insurance Claims hint: Claims in past 5 years type: select_one options: - None - 1 claim - 2-3 claims - 4 or more required: true - id: 31 name: claims_description label: Claims Description hint: Describe claims if any type: text options: [] required: false - id: 32 name: section_header_coverage_preferences label: -- Coverage Preferences -- hint: null type: note options: [] required: false - id: 33 name: desired_coverages label: Desired Coverages hint: Select coverages needed type: select_multiple options: - Building Coverage - Business Personal Property - Business Income - General Liability - Professional Liability - Workers Compensation - Commercial Auto - Cyber Liability - Equipment Breakdown - Flood - Earthquake required: true - id: 34 name: deductible_preference label: Deductible Preference hint: Preferred deductible amount type: select_one options: - $500 - $1,000 - $2,500 - $5,000 - $10,000 required: true - id: 35 name: additional_comments label: Additional Comments hint: Any other information type: text options: [] required: false