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* 1. Do you create a written monthly budget?

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* 3. Were these funds segregated in a specific account separate from your daily funds used to pay bills and expenses?

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* 4. Have you paid a late fee or non-sufficient funds fee in the past twelve months? 

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* 5. Do you have a smart phone?

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* 6. Do you have internet access?

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* 7. Would you be willing to set up a separate account with automatic deposits with a goal of saving $400?

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* 8. Member Name

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