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* 1. What sources of retirement income do you receive?

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* 2. Do you feel you have enough money for food, shelter, and clothing expenses?

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* 3. Do you have any difficulties paying your utility bills including gas (heat), electric, water, telephone, internet utilities?

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* 4. Do you need assistance with filing taxes?

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* 5. Do you need assistance with your checking account, bills, or other budgeting tasks?

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* 6. Do you understand your health insurance benefits?

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* 7. Are you concerned about the cost of health care and prescription drugs?

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* 8. Do you have difficulty paying for prescription drugs?

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* 9. Do you have someone that helps you with your finances for example paying bills, balancing bank accounts?

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* 10. Are you currently working?

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