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* 1. Do you currently have extended medical insurance?

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* 2. Do you currently have dental insurance?

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* 3. Would you participate in GROUP long term disability and critical iillness insurance through TESL Canada?

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* 4. Would you participate in GROUP extended medical and dental insurance through TESL Canada?

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* 5. Would you be interested in life insurance through TESL Canada?

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* 6. What is your age?

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* 7. Do you have a partner or spouse?

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* 8. Do you have children 21 or under, or 25 and under if in post secondary?

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