* 1. Do you have a financial plan?

* 2. Do you have set financial goals? (If no, skip to question 4.)

* 3. What do you consider your most important goal(s)?

* 4. Would you be interested in resources designed to help you meet your financial goals?

* 5. Are you currently concerned about your finances?

* 6. Are you currently seeking employment?

* 7. Do you need help with preparing a resume?

* 8. Please indicate which District/region you live in:

* 9. Contact Information (optional):

* 10. Please list any additional information you would like to share:

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