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Living Review Survey
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Time required to fill this form - 2-3 minutes
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Name
*
Your answer
Age group
*
Choose
<15
15-20
20-25
25-30
30-40
40-50
>50
Occupation
Your answer
Income
*
Choose
<25,000$
25,000-50,000
50,000-100,000
>100,000$
Location(State Name)
*
Your answer
Did you come across a situation when you couldn't buy needed things even though you could afford it?(at situations when you are busy or when you don't have transportation)
Yes
No
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