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General information
| Question text: | Do you currently receive any type of regular benefits from the Federal or the State government, such as Social Security? If so, please tell us which benefits you receive. Please choose all that apply. |
| Answer type: | Radio buttons |
| Answer options: | 0 No 1 Yes |
| Label: | I do not receive any government benefits |
| Empty allowed: | One-time warning |
| Error allowed: | Not allowed |
| Multiple instances: | No |