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* 1. Name

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* 2. Phone

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* 3. Age

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* 4. Ethnicity

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* 5. Do you rent or own your home?

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* 6. Which of the following best describes your experience with renter's insurance?

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* 7. With what company do you have or have you had renter's insurance? (if applicable)

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* 8. With what company do you have auto insurance?

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* 9. About how long ago did you purchase or refinance your most recent automobile?

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