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What's your age??
 
18-25
 
26-30
 
31-40
 
41-50
 
50 or above
 
 
 
Are you a smoker???
 
Yes
 
No
 
 
 
What is your marital status?
 
Single
 
Married
 
 
 
Dependents???
 
 
 
What is your monthly salary?(in HKD)
 
 
 
How much do you save per month??
   
 
 
Contact Information
* First Name : 
* Last Name : 
Phone : 
* Email Address : 
 
Thanks for your participation
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