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* 1. What is your gender?

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* 2. What is your age?

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* 3. Do you identify as Hispanic or Latino

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* 4. Ethnicity/Race. Select all that apply.

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* 5. Where do you currently reside?

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* 6. Do you have any chronic conditions?

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* 7. Which of the following do you have? Select all that apply.

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* 8. On a scale 1-10, how comfortable are you with technology? (1 being very uncomfortable, 10 being comfortable).
For example: navigating the computer, using your phone, using zoom.

1 10
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i We adjusted the number you entered based on the slider’s scale.

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* 9. On a scale of 1-10, how satisfied are you with RetireSafe’s services? (1 being very unsatisfied, 10 being extremely satisfied)

1 10
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i We adjusted the number you entered based on the slider’s scale.

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* 10. Would you be interested in attending virtual events held by RetireSafe?

0 of 10 answered
 

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