==========================================================================================

Section C: LONG-TERM CARE  (Respondent)

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HCC01_11       C1. ANY LTC COVERAGE
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Not including government programs, do you have any long term care insurance
         which specifically covers nursing home care for a year or more or any part of
         personal or medical care in your own home?

         .................................................................................
          1027           1.  Yes
          6388           5.  No (Skip to C2)
           237           9.  Answer not given
                     Blank.  INAP (Inapplicable); MISSING


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HCC01A_11      C1A. YEAR PURCHASE LTC
         Section: C     Level: Respondent      Type: Numeric    Width: 4   Decimals: 0

         In what year did you purchase this policy?

         .................................................................................
           717               1902-2012.  Actual Value
           570                    9999.  Answer not given
          6365                   Blank.  INAP (Inapplicable); MISSING


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HCC01B_11      C1B. SOURCE PURCHASE LTC
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Did you purchase your long-term care insurance policy through a current or past
         employer or spouse's employer?

         .................................................................................
           299           1.  Yes
           896           5.  No
           400           9.  Answer not given
          6057       Blank.  INAP (Inapplicable); MISSING


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HCC02_11       C2. EVER APPLY LTC DENIED
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Have you ever applied for long term care insurance and had your application
         denied? Please mark only one.

         .................................................................................
           207           1.  Yes
          7311           5.  No
           134           9.  Answer not given
                     Blank.  INAP (Inapplicable); MISSING


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HCC03_11       C3. ANYONE IN NURSING HOME
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Has a family member or close friend ever spent a year or more in a nursing home?
         Please mark only one.

         .................................................................................
          2512           1.  Yes
          4986           5.  No (Skip to C5)
           154           9.  Answer not given
                     Blank.  INAP (Inapplicable); MISSING


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HCC04M1_11     C4M1. RELATIONSHIP NH RESIDENT-1
         Section: C     Level: Respondent      Type: Numeric    Width: 2   Decimals: 0

         What was that person's relationship(s) to you? Please mark all that apply.

         .................................................................................
           119           1.  Spouse/partner
          1072           2.  Mother/ Mother-in-law
           256           3.  Father/ Father-in-law
           237           4.  Sibling/ Sibling-in-law
           342           5.  Close friend
           195           6.  Grandparent(s)/ Grandparent(s)-in-law
           255           7.  Other family member
            42          97.  Other Specify
           216          99.  Answer not given
          4918       Blank.  INAP (Inapplicable); MISSING


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HCC04M2_11     C4M2. RELATIONSHIP NH RESIDENT-2
         Section: C     Level: Respondent      Type: Numeric    Width: 2   Decimals: 0

         What was that person's relationship(s) to you? Please mark all that apply.

         .................................................................................
                         1.  Spouse/partner
            14           2.  Mother/ Mother-in-law
           131           3.  Father/ Father-in-law
            44           4.  Sibling/ Sibling-in-law
            69           5.  Close friend
             2           6.  Grandparent(s)/ Grandparent(s)-in-law
            16           7.  Other family member
            73          97.  Other Specify
                        99.  Answer not given
          7303       Blank.  INAP (Inapplicable); MISSING


==========================================================================================


HCC04M3_11     C4M3. RELATIONSHIP NH RESIDENT-3
         Section: C     Level: Respondent      Type: Numeric    Width: 2   Decimals: 0

         What was that person's relationship(s) to you? Please mark all that apply.

         .................................................................................
                         1.  Spouse/partner
                         2.  Mother/ Mother-in-law
             4           3.  Father/ Father-in-law
             4           4.  Sibling/ Sibling-in-law
            17           5.  Close friend
             2           6.  Grandparent(s)/ Grandparent(s)-in-law
            20           7.  Other family member
             3          97.  Other Specify
                        99.  Answer not given
          7602       Blank.  INAP (Inapplicable); MISSING


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HCC04M4_11     C4M4. RELATIONSHIP NH RESIDENT-4
         Section: C     Level: Respondent      Type: Numeric    Width: 2   Decimals: 0

         What was that person's relationship(s) to you? Please mark all that apply.

         .................................................................................
                         1.  Spouse/partner
                         2.  Mother/ Mother-in-law
                         3.  Father/ Father-in-law
             1           4.  Sibling/ Sibling-in-law
             1           5.  Close friend
             1           6.  Grandparent(s)/ Grandparent(s)-in-law
                         7.  Other family member
                        97.  Other Specify
                        99.  Answer not given
          7649       Blank.  INAP (Inapplicable); MISSING


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HCC04M5_11     C4M5. RELATIONSHIP NH RESIDENT-5
         Section: C     Level: Respondent      Type: Numeric    Width: 2   Decimals: 0

         What was that person's relationship(s) to you? Please mark all that apply

         .................................................................................
                         1.  Spouse/partner
                         2.  Mother/ Mother-in-law
                         3.  Father/ Father-in-law
                         4.  Sibling/ Sibling-in-law
             1           5.  Close friend
                         6.  Grandparent(s)/ Grandparent(s)-in-law
             1           7.  Other family member
                        97.  Other Specify
                        99.  Answer not given
          7650       Blank.  INAP (Inapplicable); MISSING


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HCC04M6_11     C4M6. RELATIONSHIP NH RESIDENT-6
         Section: C     Level: Respondent      Type: Numeric    Width: 2   Decimals: 0

         What was that person's relationship(s) to you? Please mark all that apply.

         .................................................................................
                         1.  Spouse/partner
                         2.  Mother/ Mother-in-law
                         3.  Father/ Father-in-law
                         4.  Sibling/ Sibling-in-law
                         5.  Close friend
                         6.  Grandparent(s)/ Grandparent(s)-in-law
             1           7.  Other family member
                        97.  Other Specify
                        99.  Answer not given
          7651       Blank.  INAP (Inapplicable); MISSING


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HCC04M7_11     C4M7. RELATIONSHIP NH RESIDENT-7
         Section: C     Level: Respondent      Type: Numeric    Width: 2   Decimals: 0

         What was that person's relationship(s) to you? Please mark all that apply.

         .................................................................................
                         1.  Spouse/partner
                         2.  Mother/ Mother-in-law
                         3.  Father/ Father-in-law
                         4.  Sibling/ Sibling-in-law
                         5.  Close friend
                         6.  Grandparent(s)/ Grandparent(s)-in-law
                         7.  Other family member
                        97.  Other Specify
                        99.  Answer not given
          7652       Blank.  INAP (Inapplicable); MISSING


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HCC05A_11      C5A MEDICARE COVERS LTC
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Please mark each of the following statements as true or false. Please mark only
         one.
         
         Medicare covers the extended use of long-term care for those age 65 or older

         .................................................................................
          2547           1.  True
          4417           2.  False
           688           9.  Answer not given
                     Blank.  INAP (Inapplicable); MISSING


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HCC05B_11      C5B MEDICAID COVERS LTC
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Please mark each of the following statements as true or false.  Please mark only
         one.
         
         Medicaid covers the extended use of long-term care for those who qualify on the
         basis of financial resources.

         .................................................................................
          4538           1.  True
          2290           2.  False
           824           9.  Answer not given
                     Blank.  INAP (Inapplicable); MISSING


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HCC05C_11      C5C SUPPLEMENTAL COVERS LTC
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Please mark each of the following statements as true or false. Please mark only
         one.
         
         Most medigap / medicare supplemental insurance policies cover long term care
         needs

         .................................................................................
          2081           1.  True
          4617           2.  False
           954           9.  Answer not given
                     Blank.  INAP (Inapplicable); MISSING


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HCC06_11       C6. CHANCE SELF LIVE INDEPENDENTLY
         Section: C     Level: Respondent      Type: Numeric    Width: 3   Decimals: 0

         Assuming that you live to age 85, what is the chance that your mental and
         physical health will allow you to be living independently at that time, that is,
         to live at home without help and to manage your own affairs? Please mark (X) a
         box on the line below indicating what you think is the percent chance.   Please
         mark only one.
         
         (00---10---20---30---40---50---60---70---80---90---100)
         
         0%: Surely won't happen
         100%: Surely will happen

         .................................................................................
          6827                   0-100.  Actual Value
                                   999.  Answer not given
           825                   Blank.  INAP (Inapplicable); MISSING


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HCC07_11       C7. CHANCE OTHER LIVE INDEPENDENTLY
         Section: C     Level: Respondent      Type: Numeric    Width: 3   Decimals: 0

         For a typical person of your age and gender who lives to age 85, what is the
         chance that his/her mental and physical health will allow him/her to be living
         independently at that time, that is, to live at home without help and to manage
         his/her own affairs?  Please mark (X) a box on the line below indicating what
         you think is the percent chance. Please mark only one.
         
         (00---10---20---30---40---50---60---70---80---90---100)
         
         0%: Surely won't happen
         100%: Surely will happen

         .................................................................................
          6822                   0-100.  Actual Value
                                   999.  Answer not given
           830                   Blank.  INAP (Inapplicable); MISSING


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HCC08_11       C8. CHANCE SELF LIVE NURSING HOME
         Section: C     Level: Respondent      Type: Numeric    Width: 3   Decimals: 0

         On a scale of 0 to 100, what is the chance that you will live in a nursing home
         at some point in your life?  Please mark (X) a box on the line below indicating
         what you think is the percent chance. Please mark only one.
         
         (00---10---20---30---40---50---60---70---80---90---100)
         
         0%: Surely won't happen
         100%: Surely will happen

         .................................................................................
          7283                   0-100.  Actual Value
           369                     999.  Answer not given
                                 Blank.  INAP (Inapplicable); MISSING


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HCC09_11       C9. CHANCE OTHER LIVE NURSING HOME
         Section: C     Level: Respondent      Type: Numeric    Width: 3   Decimals: 0

         For a typical person of your age and gender, on a scale of 0 to 100, what is the
         chance that he/she will live in a nursing home at some point in his/her life?
         Please mark only one.
         
         (00---10---20---30---40---50---60---70---80---90---100)
         
         0%: Surely won't happen
         100%: Surely will happen

         .................................................................................
          7368                   0-100.  Actual Value
           284                     999.  Answer not given
                                 Blank.  INAP (Inapplicable); MISSING


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HCC10A_11      C10A. EXTRA MONEY FOR LTC
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Thinking about the future, would extra financial resources be more valuable to
         you. Please mark only one.

         .................................................................................
          4616           1.  when you are in poor health so that you can use the
                             resources to provide for any long-term care services that
                             you need?
          2693           2.  when you are in good health so that you can use the
                             resources to pay for goods and services that you enjoy?
           343           9.  Answer not given
                     Blank.  INAP (Inapplicable); MISSING


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HCC10B_11      C10B. EXTRA MONEY FOR HEALTH CARE
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Thinking about the future, would extra financial resources be more valuable to
         you. Please mark only one.

         .................................................................................
          4692           1.  when you are in poor health so that you can use the
                             resources to provide for more or better care (assuming that
                             your basic medical care is already paid for)?
          2591           2.  when you are in good health so that you can use the
                             resources to pay for goods and services that you enjoy?
           369           9.  Answer not given
                     Blank.  INAP (Inapplicable); MISSING


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HCC10C_11      C10C. EXTRA MONEY FOR GOODS/SERVICES
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Thinking about the future, would extra financial resources be more valuable to
         you. Please mark only one.

         .................................................................................
          4593           1.  when you are in poor health so that you can use the
                             resources to pay for goods and services that you enjoy
                             (assuming that your basic medical care is already paid for)?
          2623           2.  when you are in good health so that you can use the
                             resources to pay for goods and services that you enjoy?
           436           9.  Answer not given
                     Blank.  INAP (Inapplicable); MISSING


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HCC11A_11      C11A. NURSING HOME PAY FOR CARE
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Suppose there is a 50/50 chance that one year from now you will be living in a
         nursing home and a 50/50 chance that you will be healthy and living in your own
         home.
         
         Also suppose you are offered a choice of insurance policy that will either pay
         you $10,000 if you are healthy and living at home in which case you can spend
         the money on goods and services you enjoy, OR $10,000 if you are in a nursing
         home to help pay for care, OR you can divide the $10,000 across these two
         possibilities (such as $5,000 either way).
         
         Which of the following options would you prefer? Please mark only one.

         .................................................................................
          2495           1.  I would like to receive $10,000 if I were healthy and living
                             at home and $0 if I were in a nursing home
          1136           2.  I would like to receive $7,500 if I were healthy and living
                             at home and $2,500 if I were in a nursing home
          1272           3.  I would like to receive $2,500 if I were healthy and living
                             at home and $7,500 if I were in a nursing home
          2339           4.  I would like to receive $0 if I were healthy and living at
                             home and $10,000 if I were in a nursing home
           410           9.  Answer not given
                     Blank.  INAP (Inapplicable); MISSING


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HCC11B_11      C11B. NURSING HOME MORE/BETTER CARE
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Suppose there is a 50/50 chance that one year from now you will be living in a
         nursing home and a 50/50 chance that you will be healthy and living in your own
         home.
         
         Also suppose you are offered a choice of insurance policy that will either pay
         you $10,000 if you are healthy and living at home in which case you can spend
         the money on goods and services you enjoy, OR $10,000 if you are in a nursing
         home where you can spend the money to buy more or better care, OR you can divide
         the $10,000 across these two possibilities (such as $5,000 either way).
         
         Which of the following options would you prefer? Please mark only one.

         .................................................................................
          2399           1.  I would like to receive $10,000 if I were healthy and living
                             at home and $0 if I were in a nursing home
          1142           2.  I would like to receive $7,500 if I were healthy and living
                             at home and $2,500 if I were in a nursing home
          1302           3.  I would like to receive $2,500 if I were healthy and living
                             at home and $7,500 if I were in a nursing home
          2260           4.  I would like to receive $0 if I were healthy and living at
                             home and $10,000 if I were in a nursing home
           549           9.  Answer not given
                     Blank.  INAP (Inapplicable); MISSING


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HCC11C_11      C11C. NURSING HOME BUY GOODS/SERVICES
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Suppose there is a 50/50 chance that one year from now you will be living in a
         nursing home and a 50/50 chance that you will be healthy and living in your own
         home.
         
         Also suppose you are offered a choice of insurance policy that will either pay
         you $10,000 if you are healthy and living at home OR $10,000 if you are in a
         nursing home, OR you can divide the $10,000 across these two possibilities (such
         as $5,000 either way).  Assume that in either case the cost of all needed
         medical care is covered and that you can use the additional money to buy goods
         and services that you enjoy or that make your life more comfortable.
         
         Which of the following options would you prefer? Please mark only one.

         .................................................................................
          2790           1.  I would like to receive $10,000 if I were healthy and living
                             at home and $0 if I were in a nursing home
          1429           2.  I would like to receive $7,500 if I were healthy and living
                             at home and $2,500 if I were in a nursing home
          1089           3.  I would like to receive $2,500 if I were healthy and living
                             at home and $7,500 if I were in a nursing home
          1778           4.  I would like to receive $0 if I were healthy and living at
                             home and $10,000 if I were in a nursing home
           566           9.  Answer not given
                     Blank.  INAP (Inapplicable); MISSING


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HCC12A_11      C12A. THOUGHT ABOUT LTC
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Please indicate whether you agree or disagree with the following statements.
         
         I have thought a lot about the possibility of needing long-term care.

         .................................................................................
          1151           1.  Strongly agree
          1988           2.  Somewhat agree
          2253           3.  Neutral
          1005           4.  Somewhat disagree
          1018           5.  Strongly disagree
           237           9.  Answer not given
                     Blank.  INAP (Inapplicable); MISSING


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HCC12B_11      C12B. LTC FROM PROFESSIONAL
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Please indicate whether you agree or disagree with the following statements.
         
         If I need long-term care at some point, I would prefer to receive care from a
         professional aide or nurse rather than my spouse or other family member.

         .................................................................................
          1614           1.  Strongly agree
          2089           2.  Somewhat agree
          1563           3.  Neutral
          1137           4.  Somewhat disagree
          1014           5.  Strongly disagree
           235           9.  Answer not given
                     Blank.  INAP (Inapplicable); MISSING


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HCC12C_11      C12C. LTC PAY FAMILY MEMBER
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Please indicate whether you agree or disagree with the following statements.
         
         If a family member (other than a spouse) cares for me, I would feel obligated to
         compensate that person in some way.

         .................................................................................
          2938           1.  Strongly agree
          2764           2.  Somewhat agree
          1039           3.  Neutral
           384           4.  Somewhat disagree
           295           5.  Strongly disagree
           232           9.  Answer not given
                     Blank.  INAP (Inapplicable); MISSING


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HCC12D_11      C12D. LTC CHILD OBLIGATION
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Please indicate whether you agree or disagree with the following statements.
         
         It is a child's obligation to help a parent with long term care needs.

         .................................................................................
           753           1.  Strongly agree
          1520           2.  Somewhat agree
          1892           3.  Neutral
          1609           4.  Somewhat disagree
          1655           5.  Strongly disagree
           223           9.  Answer not given
                     Blank.  INAP (Inapplicable); MISSING


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HCC12E_11      C12E. IMPORTANT LEAVE BEQUEST
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Please indicate whether you agree or disagree with the following statements.
         
         It is important to leave a bequest to one's heirs.

         .................................................................................
          2005           1.  Strongly agree
          2040           2.  Somewhat agree
          2048           3.  Neutral
           605           4.  Somewhat disagree
           594           5.  Strongly disagree
           360           9.  Answer not given
                     Blank.  INAP (Inapplicable); MISSING


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HCC12F_11      C12F. LTC INSURANCE PRICE OKAY
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Please indicate whether you agree or disagree with the following statements.
         
         Long term care insurance policies are appropriately priced given the cost of the
         care they cover.

         .................................................................................
           510           1.  Strongly agree
          1481           2.  Somewhat agree
          3301           3.  Neutral
          1268           4.  Somewhat disagree
           730           5.  Strongly disagree
           362           9.  Answer not given
                     Blank.  INAP (Inapplicable); MISSING


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HCC12G_11      C12G. LTC POLICY DENY CLAIMS
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Please indicate whether you agree or disagree with the following statements.
         
         I am concerned that an insurance company might deny reasonable claims for
         long-term care.

         .................................................................................
          1387           1.  Strongly agree
          2831           2.  Somewhat agree
          2248           3.  Neutral
           619           4.  Somewhat disagree
           270           5.  Strongly disagree
           297           9.  Answer not given
                     Blank.  INAP (Inapplicable); MISSING


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HCC12H_11      C12H. LTC POLICY RAISE PREMIUMS
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Please indicate whether you agree or disagree with the following statements.
         
         I am concerned that, once I own a long-term care insurance policy, an insurance
         company might raise my premiums.

         .................................................................................
          2032           1.  Strongly agree
          2768           2.  Somewhat agree
          1900           3.  Neutral
           450           4.  Somewhat disagree
           223           5.  Strongly disagree
           279           9.  Answer not given
                     Blank.  INAP (Inapplicable); MISSING


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HCC12I_11      C12I. LTC OUT OF BUSINESS
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Please indicate whether you agree or disagree with the following statements.
         
         I am concerned that an insurance company may not remain in business long enough
         to pay for my care.

         .................................................................................
          1615           1.  Strongly agree
          2661           2.  Somewhat agree
          2157           3.  Neutral
           626           4.  Somewhat disagree
           308           5.  Strongly disagree
           285           9.  Answer not given
                     Blank.  INAP (Inapplicable); MISSING


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HCC12J_11      C12J. LTC POLICIES COMPLICATED
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Please indicate whether you agree or disagree with the following statements.
         
         Long term care insurance contracts are complicated and difficult to understand.

         .................................................................................
          1819           1.  Strongly agree
          2819           2.  Somewhat agree
          2190           3.  Neutral
           407           4.  Somewhat disagree
           125           5.  Strongly disagree
           292           9.  Answer not given
                     Blank.  INAP (Inapplicable); MISSING


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HCC12K_11      C12K. LTC FINANCIAL ADVISOR
         Section: C     Level: Respondent      Type: Numeric    Width: 1   Decimals: 0

         Please indicate whether you agree or disagree with the following statements.
         
         A financial advisor has suggested that I buy long-term care insurance.

         .................................................................................
           550           1.  Strongly agree
           750           2.  Somewhat agree
          2866           3.  Neutral
           743           4.  Somewhat disagree
          2294           5.  Strongly disagree
           449           9.  Answer not given
                     Blank.  INAP (Inapplicable); MISSING