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1. What is the health insurance premium you pay for a single person per month?
Less than $100
$100 - $150
$150 - $200
$200 - $250
$250 - $300
$300 - $350
$350 - $400
$400 - $450
$450 - $500
More than $500
2. In which age-group do you fall?
16 - 19
20 - 29
30 - 39
40 - 49
50 - 59
60 - 69
70 and above.
3. What is the average monthly cost you pay for utilities such as gas,electricity,water,cable and internet?
Less than $100
$100 - $150
$150 - $200
$200 - $250
$250 - $300
$300 - $350
$350 - $400
$400 - $500
More than $500
4. n what type of an accommodation do you currently live?
One bedroom accommodation
Two bedroom accommodation
Three bedroom accommodation
Four bedroom accommodation
Five bedroom accommodation
5. How does you spend on rent,Mortages,and Home insurance?
A 1200-1300
B 1400-1500
C 1600-1700
D 1800-1900
E 2000-3000
6. How much do you contribute per month toward your retirement plan(s) and social security?
7. Please specify your gender.
Male
Female
8. How does you spend on Groceries withou coupons
A 100-200
B 200-300
C 300-400
D 400-500
E 500-600
9. How Much does you spend on transporation include SUBWAY, BUS,PATh train,and Auto insurance?
A 100-200
B 200-300
C 300-400
D 400-500
10. In what industry do you work?
Manufacturing
Leisure and Hospitality
Education
Healthcare
Financial/Professional
Social Service
Government
Trade
Technology
Agriculture
Real Estate/Construction
Transportation
11. Which US state do you belong to?
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