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* 1. Booking ID (please fill in the 4 digit code provided by your trainer)

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* 2. Your Gender:

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* 3. Your Race :

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* 4. Your Citizenship:

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* 5. Your Age Range:

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* 6. Your Current Family Status:

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* 7. Your Highest Level of Education:

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* 8. Your Annual Household Income Range (Before Taxes):

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* 9. Please respond by CLICKING the appropriate number on the scale from (Strongly Disagree) to (Strongly Agree).

  Strongly Disagree Disagree Neutral Agree Strongly Agree
The talk has achieved its objectives.
The materials are useful to me.
There was appropriate use of examples and exercises to help me understand the topic.
The concepts and skills presented help me in my personal development.
The trainer has good knowledge of the topic.
The trainer is able to communicate the ideas and concepts to me.
The trainer makes the topic relevant to me.
The trainer uses practical examples and case studies.

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* 10. What did you find MOST useful to you about this talk?

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* 11. What did you find LEAST useful to you about this talk?

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* 12. How can we improve on this talk?

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* 13. What other financial topics are you keen to know more about? (TICK whichever applies to you)

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* 14. How did you get to know about this talk? Please tick one only.

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* 15. Would you like to receive our (Institute for Financial Literacy) E-Newsletters?

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* 16. Please CLICK your response to each of the following statements.

  Do Not Know True False
Medisave cannot be used to pay for pregnancy & delivery charges.
I can use the money in my Medisave Account to pay for my grandchildren’s healthcare expenses.
If I want to have additional insurance protection on top of what MediShield Life provides, such as treatment in Class A/B1 wards in restructured hospitals and/or treatment in private hospitals, I should purchase an Integrated Shield Plan.
ElderShield premiums are based on my age of entry, payable annually until age 65.
Those with serious pre-existing conditions do not need to pay Additional Premiums.

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* 17. How confident are you to do each of the following?

  Not Confident A Little Confident Confident Very Confident
Grasp the various CPF schemes.
Understand my health insurance needs.
Use the various CPF schemes to meet my needs.
Calculate the gaps I have to fill after using the various CPF schemes, in order to meet my health insurance needs.
Select suitable private health insurance products for myself to fill the gaps if I want to.

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* 18. AFTER attending this talk, what is your intention to do each of the following?

  Does Not Apply To Me No Maybe Yes I Am Already Doing This
Grasp the various CPF schemes.
Understand my health insurance needs.
Use the various CPF schemes to meet my needs.
Calculate the gaps I have to fill after using the various CPF schemes, in order to meet my health insurance needs.
Select suitable private health insurance products for myself to fill the gaps if I want to.

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