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

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

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

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

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

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