DOWNLOAD QUESTIONNAIRE (BPQ)

  • Please Note: You will not be given an appointment without a completed BPQ.
  • Email your completed form to administration@benefitsandpercs.com.
  • Once we receive your completed BPQ we will contact you to set your first
    appointment with Melanie.

  • Use this link to access your Benefits and Percs Questionnaire (BPQ) Form:

    BenefitsandPercs2025HealthInsuranceQuestionnaireBPQ.pdf

  • After you download the form, type your details on the form, be as specific as possible.
  • Download the BPQ to your desktop.
  • Then save it titling it with your name followed by BPQ.
  • Be sure it is saved on your computer. We receive many blank BPQ forms.




ONLY FOR THOSE WHO HATE COMPUTERS
TECH TIP
How to Download and Save the BPQ
on Your Computer

  1. Click the BPQ link above
  2. BPQ will open
  3. Click on the “File” tab
  4. Click on “Save Page As”
  5. Title the document with your name followed by BPQ
  6. Save it to your desktop
  7. Click on “Save”
  8. You can now locate your BPQ on your desktop screen
  9. Email the completed BPQ form to administration@benefitsandpercs.com