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Almost there! Couple of quick questions

How much coverage do you need?

$50k - $99K $100k - $200K $201k - $300K $301,000+

Are you a smoker?

No Yes

How would you rate your overall health?

Excellent Good Fair Poor

What is your age?

18-30 31-49 50-60 61+

What is your zip code?

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