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Where do you see yourself at age 65?
1% Rich
4% Financially Independent
5% Still Working
28% Deceased
62% Financially Challenged

What plan do you have in place to secure your retirement?
Get and Additional Job
Go Back to School
Invest in Stock Market
Start Your Own Business
None of the Above

What concerns you most about your financial security?
Credit Card Debt
Not Enough For Retirement
College Fund
Health Concerns
Other
All of the Above

If money wasn't an issue, I would...
Retire Now
Set Up a College Fund For My Children
Take More Vacation Time
Give To Charity
Pay Off Debt
Invest For The Future
First Name
Last Name
Home Phone Number
Best Time to Reach You
E-mail Address

"If one advances confidently in the direction of his dreams and endeavors to live the life he has imagined, he will meet with a success unexpected in common hours"
Henry David Thoreau





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