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Country of residence:	PULL DOWN TO SELECT United States -- US Afghanistan -- AF Albania -- AL Algeria -- DZ American Samoa -- AS Andorra -- AD Angola -- AO Anguilla -- AI Antarctica -- AQ Antigua And Barbuda -- AG Argentina -- AR Armenia -- AM Aruba -- AW Australia -- AU Austria -- AT Azerbaijan -- AZ Bahamas -- BS Bahrain -- BH Bangladesh -- BD Barbados -- BB Belarus -- BY Belgium -- BE Belize -- BZ Benin -- BJ Bermuda -- BM Bhutan -- BT Bolivia -- BO Bosina Hercegovina -- BA Botswana -- BW Bouvet Island -- BV Brazil -- BR British Indian Ocean T. -- IO Brunie Darussalam -- BN Bulgaria -- BG Burkina Faso -- BF Burundi -- BI Cambodia -- KH Cameroon -- CM Canada -- CA Cape Verde -- CV Cayman Islands -- KY Central African Rep. -- CF Chad -- TD Chile -- CL China -- CN Christmas Island -- CX Cocos (Keeling) Islands -- CC Colombia -- CO Comoros -- KM Congo -- CG Congo, The Dem. Rep. of The -- CD Cook Islands -- CK Costa Rica -- CR Cote D'ivoire -- CI Croatia -- HR Cuba -- CU Cyprus -- CY Czech Republic -- CZ Danmark -- DK Djibouti -- DJ Dominica -- DM Dominican Republic -- DO East Timor -- TP Ecuador -- EC Egypt -- EG El Salvador -- SV Equatorial Guinea -- GQ Eritrea -- ER Estonia -- EE Ethiopia -- ET Falkland Islands -- FK Faroe Islands -- FO Fiji -- FJ Finland -- FI France -- FR French Guiana -- GF French Polynesia -- PF French Southern T. -- TF Gabon -- GA Gambia -- GM Georgia -- GE Germany -- DE Ghana -- GH Gibraltar -- GI Greece -- GR Greenland -- GL Grenada -- GD Guadeloupe -- GP Guam -- GU Guatemala -- GT Guinea -- GN Guinea-Bissau -- GW Guyana -- GY Haiti -- HT Heard And Mcdonald I. -- HM Holy See (Vatican State) -- VA Honduras -- HN Hong Kong -- HK Hungary -- HU Iceland -- IS India -- IN Indonesia -- ID Iran, Islamic Rep. Of -- IR Iraq -- IQ Ireland -- IE Israel -- IL Italy -- IT Jamaica -- JM Japan -- JP Jordan -- JO Kazakstan -- KZ Kenya -- KE Kiribati -- KI Korea, D. People's R. Of -- KP Korea, Republic of -- KR Kuwait -- KW Kyrgyzstan -- KG Lao People's Dem. Republic -- LA Latvia -- LV Lebanon -- LB Lesotho -- LS Liberia -- LR Libyan Arab Jamahiriya -- LY Liechtenstein -- LI Lithuania -- LT Luxembourg -- LU Macau -- MO Macedonia, Former Yugoslav Rep. of -- MK Madagascar -- MG Malawi -- MW Malaysia -- MY Maldives -- MV Mali -- ML Malta -- MT Marshall Islands -- MH Martinique -- MQ Mauritania -- MR Mauritius -- MU Mayotte -- YT Mexico -- MX Micronesia, Fed. States of -- FM Moldova, Republic Of -- MD Monaco -- MC Mongolia -- MN Montserrat -- MS Morocco -- MA Mozambique -- MZ Myanmar -- MM Namibia -- NA Nauru -- NR Nepal -- NP Netherlands -- NL Netherlands Antilles -- AN New Caledonia -- NC New Zealand -- NZ Nicaragua -- NI Niger -- NE Nigeria -- NG Niue -- NU Norfolk Island -- NF Northern Mariana Isl. -- MP Norway -- NO Oman -- OM Pakistan -- PK Palau -- PW Panama -- PA Papua New Guinea -- PG Paraguay -- PY Peru -- PE Philippines -- PH Pitcairn -- PN Poland -- PL Portugal -- PT Puerto Rico -- PR Qatar -- QA Reunion -- RE Romania -- RO Russian Federation -- RU Rwanda -- RW Saint Helena -- SH Saint Kitts & Nevis -- KN Saint Lucia -- LC Saint Pierre and Miquelon -- PM St. Vincent & The Grenadines -- VC Samoa -- WS San Marino -- SM Sao Tome And Principe -- ST Saudi Arabia -- SA Senegal -- SN Seychelles -- SC Sierra Leone -- SL Singapore -- SG Slovakia -- SK Solvenia -- SI Solomon Islands -- SB Somalia -- SO South Africa -- ZA South Georgia & The Sandwich I. -- GS Spain -- ES Sri Lanka -- LK Sudan -- SD Suriname -- SR Svalbard And Jan Mayen Islands -- SJ Swaziland -- SZ Sweden -- SE Switzerland -- CH Syrian Arab Republic -- SY Taiwan, Province of China -- TW Tajikistan -- TJ Tanzania, United Republic Of -- TZ Thailand -- TH Togo -- TG Tokelau -- TK Tonga -- TO Trinidad And Tobago -- TT Tunisia -- TN Turkey -- TR Turkmenistan -- TM Turks And Caicos Islands -- TC Tuvalu -- TV Uganda -- UG Ukraine -- UA United Arab Emirates -- AE United Kingdom -- UK United States Minor Outlying I. -- UM Uruguay -- UY Uzbekistan -- UZ Vanuatu -- VU Venezuela -- VE Vietnam -- VN Virgin Islands (British) -- VG Virgin Islands (U.S.) -- VI Wallis And Futuna Islands -- WF Western Sahara -- EH Yemen -- YE Yugoslavia -- YU Zambia -- ZM Zimbabwe -- ZW Other
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Your experience/education level with legal matters:	(Please select the option that comes closest) PULL DOWN TO SELECT I am a lawyer and licensed attorney I studied law, but am not licensed I am professionally involved in law practice I am a well-educated layman in legal matters I know the basics of law and have used it personally I basically know what I learned in school and no more I don't know much about law I don't have a clue... None of the above
Your yearly budget for insurance:	(including the whole family, your home, unemployment, medical, etc.) PULL DOWN TO SELECT Absolutely nothing Less than $100 $100-200 $200-500 $500-1,000 $1,000-2,000 $2,000-5,000 More than $5,000 I refuse to tell
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