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Do you rent or own your home? --Select-- Rent Own Other How long have you lived there?

--Years-- 0 Years1 Years2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 Years21 Years22 Years23 Years24 Years25 Years26 Years27 Years28 Years29 Years30 Years31 Years32 Years33 Years34 Years35 Years36 Years37 Years38 Years39 Years40 Years41 Years42 Years43 Years44 Years45 Years46 Years47 Years48 Years49 Years50 Years --Months-- 0 Months1 Months2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months

What's your approx. home monthly payment? --Select-- $0.00$100.00$200.00$300.00$400.00$500.00$600.00$700.00$800.00$900.00$1,000.00$1,100.00$1,200.00$1,300.00$1,400.00$1,500.00$1,600.00$1,700.00$1,800.00$1,900.00$2,000.00$2,100.00$2,200.00$2,300.00$2,400.00$2,500.00$2,600.00$2,700.00$2,800.00$2,900.00$3,000.00$3,100.00$3,200.00$3,300.00$3,400.00$3,500.00+

Employment Information

Employment Type --Select-- Employee Self Employed Fixed (Retirement / Social Security) What's your monthly income? And how often?

--Select Income-- $1,100.00 ($6.50/hr, $13k/yr)$1,200.00 ($7.00/hr, $15k/yr)$1,300.00 ($7.75/hr, $16k/yr)$1,400.00 ($8.25/hr, $17k/yr)$1,500.00 ($8.75/hr, $18k/yr)$1,600.00 ($9.25/hr, $19k/yr)$1,700.00 ($10.00/hr, $21k/yr)$1,800.00 ($10.50/hr, $22k/yr)$1,900.00 ($11.00/hr, $23k/yr)$2,000.00 ($11.75/hr, $24k/yr)$2,100.00 ($12.25/hr, $25k/yr)$2,200.00 ($12.75/hr, $27k/yr)$2,300.00 ($13.50/hr, $28k/yr)$2,400.00 ($14.00/hr, $29k/yr)$2,500.00 ($14.50/hr, $30k/yr)$2,600.00 ($15.25/hr, $31k/yr)$2,700.00 ($15.75/hr, $33k/yr)$2,800.00 ($16.25/hr, $34k/yr)$2,900.00 ($16.75/hr, $35k/yr)$3,000.00 ($17.50/hr, $36k/yr)$3,100.00 ($18.00/hr, $37k/yr)$3,200.00 ($18.50/hr, $39k/yr)$3,300.00 ($19.25/hr, $40k/yr)$3,400.00 ($19.75/hr, $41k/yr)$3,500.00 ($20.25/hr, $42k/yr)$3,600.00 ($21.00/hr, $43k/yr)$3,700.00 ($21.50/hr, $45k/yr)$3,800.00 ($22.00/hr, $46k/yr)$3,900.00 ($22.75/hr, $47k/yr)$4,000.00 ($23.25/hr, $48k/yr)$4,100.00 ($23.75/hr, $49k/yr)$4,200.00 ($24.25/hr, $51k/yr)$4,300.00 ($25.00/hr, $52k/yr)$4,400.00 ($25.50/hr, $53k/yr)$4,500.00 ($26.00/hr, $54k/yr)$4,600.00 ($26.75/hr, $55k/yr)$4,700.00 ($27.25/hr, $57k/yr)$4,800.00 ($27.75/hr, $58k/yr)$4,900.00 ($28.50/hr, $59k/yr)$5,000.00+ ($29.00+/hr, $60k+/yr) --Frequency-- Weekly Biweekly Twice Monthly Monthly

How long have you been working there?

--Years-- 0 Years1 Years2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 Years21 Years22 Years23 Years24 Years25 Years26 Years27 Years28 Years29 Years30 Years31 Years32 Years33 Years34 Years35 Years36 Years37 Years38 Years39 Years40 Years41 Years42 Years43 Years44 Years45 Years46 Years47 Years48 Years49 Years50 Years --Months-- 0 Months1 Months2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months

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