Insurance Tax Impact Survey
Share how insurance costs and coverage may have affected your taxes, deductions, or filing outcomes. Please answer based on your own situation.
Respondent Profile
Employment Status
*
Employed full-time
Employed part-time
Self-employed
Unemployed
Retired
Student
Other
Tax Filing Status
*
Individual
Joint
Head of Household
Other
Annual Income Range
*
Please Select
Under $25,000
$25,000-$49,999
$50,000-$74,999
$75,000-$99,999
$100,000-$149,999
$150,000 or more
Prefer not to say
Insurance Tax Impact Details
Insurance Type(s) Involved
*
Health
Life
Auto
Home
Business
Disability
Other
Did this insurance affect your taxes?
*
Yes
No
Not sure
Estimated Tax Impact Direction
Please Select
Increased refund
Decreased refund
Increased tax due
No noticeable impact
Not sure
Estimated Impact Amount or Range
Tax Filing and Deduction Considerations
How were insurance-related items handled in your tax filing?
*
Rows
Yes
No
Not Sure
Premiums were deducted
1
2
3
Reimbursements or credits were claimed
4
5
6
A tax professional was consulted
7
8
9
Overall, how confident are you in the accuracy of your tax filing related to insurance?
*
1
2
3
4
5
Additional notes on deductions, credits, exemptions, or filing concerns
Submit Survey
Should be Empty: