Design a new page.
On the page ask the visitor for:
Date of Birth:
Height / Weight:
Is there any current long term care policy in force?
Have you used any form of tobacco in the last 12 months?
Have you ever been treated for any of the following?
Cancer, High Blood Pressure, Diabetes, Asthma, Immune System Disorders, Depression/Anxiety, Heart Disease, Drug/Alcohol Abuse, Epilepsy, or similar
See the following link for how these fields look. https://www.2insure4less.com/quotes…fault.aspx Do not re-design this page or use its colors or layout.
DO NOT ASK for:
First Name, Last Name, Street Address, Zip Code, Day Phone, Cell Phone, Email
Find image of elder people. Sample http://www.selectquote.com/home10/l…s/hero.png
Our logo is attached.
It is better for you to submit multiple unique design concepts for the page than different versions of any one design.
If you don't get a great review on a particular design, please try again.
We will review the designs as quickly as possible. We will let you know what we like and don't like.
Don't be offended by a low score, it is only one person's opinion. Come back with something different. It is the high level innovative design concepts that we are looking for.