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Instructions

You will receive the most complete results if you answer all questions. Click the link if you need help answering a question. Please do not click your "Back" button while you are answering the questions, as your answers may not be saved.

Find a full range of benefits that can help!

We need to ask you some questions to help find programs that can save you money. When you are done you will get a report, fact sheets and applications for benefits programs that may help pay some of your expenses.

See if you need to gather any information before you begin.

Let’s get started.

Please note: If you are completing this for someone else, please answer all questions as if you are that person.

2.

Are you male or female?

Male  Female

3.

What is the zip code for the area you would like to get help?