Upcoming National survey Financial

1. Default Section

Plaza Research is currently looking for Male and Females who an individual or couple who are currently supporting children and older parents financially. One respondent will be chosen by our client to be featured in an article for their newsletter. The article is a personal finance profile of an individual or couple who have a financial issue they'd like to resolve.

Depending how you answer the following questions, our client will contact several people for a short pre-interview over the phone. The client will then choose one respondent and a writer will contact that person for a 1 hour interview. The writer will write a story about your financial situation and then a photographer will contact that person to arrange a photo shoot for the article.

If you are one of the respondents selected to complete the initial interview you will receive $100 for your time. Then if you are the person selected for the article you will receive an additional $350 once the article is completed.

Please answer the following questions to see if you meet the specifications we are looking for.

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* 1. Contact Information

Name:

Address:

City/Town:

State:

ZIP:

Email Address:

Phone Number:

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* 2. Age

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* 3. Occupation

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* 4. What is your annual salary? (Combined if married)

Under $25,000

$26,000-$49,999

$50,000-$80,000

$81,000+

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* 5. What is your ethnic background?

Caucasian

African American

Asian

Hispanic

Other (please specify)

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* 6. Do you provide financial support for both generations: your children and your elderly parents, or your spouse's parents?

Yes

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* 7. What are the ages of your children?

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* 8. Do you have grandchildren, and if so, how many?

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* 9. How many children do your support?

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* 10. How many children live with you?

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* 11. How old are your parents, or spouses parents, whom you either support or provide financial assistance?

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* 12. What type of financial assistance do you provide?

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* 13. How much financial assistance do you provide?

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* 14. Do your parents, or spouse parents live with you?

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* 15. Which statement best represents you?

Have a mortgage

Renting, but looking for a house

Renting only

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* 16. What is your current balance on the mortgage?

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* 17. What is the value of your home?

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* 18. Please indicate the types of savings account you, and spouse, have:

Bank savings

CDs or Money Market Accounts

401k or other workplace retirement account

IRA

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* 19. How would you describe your effort to save your retirement?

No effort

My employer automatically shifts pretax dollars to my 401(k) or other workplace plan

My employer automatically shifts pretax dollars to my 401 (k) and I make sure that amount is increased each year

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* 20. How much is in your retirement savings? 401(k) Vs IRA

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* 21. Have you calculated how much you'll need for retirement? If so do you think you'll reach that goal by age 65?

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* 22. Have you calculated how much you'll need for retirement and if so do you think you'll reach that goal by age 65?

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* 23. Do you have 1 or more credit cards?

Yes

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* 24. What is your total balance on the credit cards?

$0 balance

$1-5,000

$5,000 -10,000

More than $10,000

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* 25. What are your largest expenses?

Mortgage/ rent/ credit card debt

Food/ clothing/ necessities

Medical bills

Other (please specify)

Thank you for your time. If you meet the specifications we are looking for you will be contacted.