* 1. Including yourself, which options describe the adults in your household? (select all that apply)

* 2. How many children do you have that you are supporting financially?

* 3. How many of your children are disabled in some way that requires additional care/money?

* 4. Do you own a house?

* 5. If someone in your hospital became disabled, wheelchair dependent,  or severely ill, would you be able to stay in your current house/apartment?

* 6. How much debt do you have? (Including mortgage.)

* 7. Do you have an emergency fund?

* 8. Do you have any other unusual financial needs?

* 9. Which of these do you NOT have from your employer, personal plan, or spouse's plan?

* 10. Do we have your permission to email you the results of the quiz?

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