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* 1. What is your age?

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* 2. What is your sex?

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* 3. What are the first four characters of your postcode, e.g. BN11/ RH20 

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* 4. Do you have a Will?

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* 5. Do you have Lasting Powers of Attorney in place?

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* 6. Which of the following words come to mind when you think about making a  Will or arranging Lasting Power of Attorney (Select all that apply)?

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* 7. When you think of Wills and Lasting Power of Attorney, which local providers come to mind?

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* 8. Have you heard of Nsure Estate Planning Services or Nsure Financial services before?

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* 9. If you answered yes in question 8, when you think of Nsure what services come to mind?

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* 10. How important is using a Will Writer or Estate Planner that is a member of a Professional body?

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* 11. What are the main considerations when choosing a Will Writer or Estate Planner (select all that apply)

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* 12. Would you like more information regarding any of the following

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* 13. If you would like to receive information about Nsure Wills and Estate Planning services or Nsure Financial Services please provide contact details below.

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* 14. Would you like to be entered in to the draw to win a £30 Marks & Spencer voucher?

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