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In The Next Week
In The Next 30 Days
More Than 30 Days From Now
Not Sure


Dental Insurance
Vision Insurance
Life Insurance


Male
Female


1
2
3
4
5
6
7+


Below $29,000
$29,000 - $70,999
$71,000-$112,999
$113,000 And Over


Got Married
Got Divorced
Loss Of Coverage
Moved
Changed Or Lost Job
Birth Or Adoption
None Of The Above


Cancer
Heart Attack
Stroke
Diabetes
AIDS / HIV
Pulmonary Disease
None Of The Above

Yes No

Yes No

Yes No

Yes No



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