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Name
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Your answer
Surname
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Your answer
How old are you?
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18-24
25-34
35-44
45-54
55-64
65+
What is your home language?
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Zulu
isiXhosa
Afrikaans
English
Northern Sotho
Tswana
Sesotho
Tsonga
Swati
Venda
Ndebele
SA Sign Language
Other - African Language
Other - European Language
Which province in SA do you live in?
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Gauteng
Western Cape
KwaZulu-Natal
North West
Mpumalanga
Free State
Eastern Cape
Northern Cape
Limpopo
What is your employment status?
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Employed full time
Employed or contracted part time
Self employed
Full time student
Seeking opportunities
Do you have life cover or funeral cover? Would you like 1Life to contact you for a free quote?
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No thanks
Yes please - life cover
Yes please - life and funeral cover
What is the currency of Botswana called?
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1 point
Naira
Pula
Shilling
Rand
How many years does a silver wedding anniversary represent?
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1 point
1
5
10
25
What animal appears on the South African R5 coin?
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1 point
Black Wildebeest
Zebra
Buffalo
Springbok
Cellphone Number
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