I hope you have checked the reference document i attached. It looks fine but not exactly what i am looking for in terms of attached document reference. Images should use more lively as well as the Form is not for submit any information it will use for Get A Quote, apart from try to give touch in Insurance related, lead generation format as i have given the references too. So far structure is fine, but truly i am looking for something more & realistic, lively colors & refreshing feel as try to give me one more structure. This one is not bad at all but overall not giving feel of insurance. Ask direct questions & share your email.