Pilot Program Survey

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Hello:
You has been invited to participate in this survey. The survey is designed to gather information about how you manage your money.

Your survey responses will be strictly confidential and data from this research will be not be shared with any third parties.

The survey will take approximately 5 minutes to complete.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

Contact Information

First Name :

Last Name :

Address 1 :

Address 2 :

City :

State :

Zip :

Phone :

Email Address :

Annual Income:

* Age:

* Martial Status:

* How often do you pay bills?

* How do you manage your budget?

* Would you use a professional money management service?

Yes

I haven't given it much thought

If so, how would you prefer to receive service?

* Are you interested in participating in trail money management service?

Yes

Maybe

Test