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Financial 101 Survey
First Name
Last Name
Email
Phone
Which are you?
Employee
Self Employed
Business Owner
Name of Company
Are you suffering from financial losses as result of the recent economic downturn?
Yes
No
Are you concerned about any of the following
Too Many bills or debt?
Lack of savings or investment for retirement of kid's college education?
Not having enough protection in the case of diability, long term illness or even death?
Select all that apply to you?
Do you carry any significant financial responsibilities with growing children or aging parents?
Are you concerned about the future of your job or career?
Do you feel that financial terms such as investments, insurance, debt, inflation and tax are difficult to understand?
Do you think there is a large number of people in our country who struggle financially and need help to improve their financial situation?
If you were to choose, what would your rather have?
Better return for your money
Better safety for your money
What is your ideal retirement age?
FINANCIAL SOLUTIONS: (select all that apply)
Do you want to learn more about how money works and how to build a stronger financial future?
Are you interested in making more money and increasing your cash flow?
Do you want to expore a new business career in the fast growing financial services industry?
What's the best day for us to contact you?
What time?
Submit Review
Thanks for submitting!
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