If you had a serious illness or disability, what would you like to spend your money on?

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* 1. If you had a serious illness or disability, what would you like to spend your money on?

What sources of money do you have to use for the above items?

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* 2. What sources of money do you have to use for the above items?

We all have different abilities to cope with unexpected problems. Do you fall into any of these categories?

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* 3. We all have different abilities to cope with unexpected problems. Do you fall into any of these categories?

I would like Meena to contact me...

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* 4. I would like Meena to contact me...

If you wish to be contacted, please provide your information

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* 5. If you wish to be contacted, please provide your information

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