Pre-Paid Legal Services, Inc.	&  Identity Theft Shield
Employee Benefit Survey
Please check any situation that has affected your family.

Have You Ever…
	
-	Had wanted to update or prepare a Will?			Yes___	No___

-	Received a traffic ticket?						Yes___	No___

-	Purchased or rented a home or apartment?			Yes___	No___

-	Purchased or leased a car?						Yes___	No___

-	Paid a bill you knew was unfair?					Yes___	No___

-	Signed a contract or document?					Yes___	No___

-	Been involved in a separation or divorce?			Yes___	No___

-	Had a problem with child support or visitation rights?	Yes___	No___

-	Felt like you were taken advantage of?				Yes___	No___

-	Needed legal advice?							Yes___	No___

-	Know someone or have experienced Identity Theft?	Yes___	No___

-	Supplied personal information over the internet?		Yes___	No___

-	Carried your Social Security card in your Wallet/Purse?	Yes___	No___

If you answered, “Yes” to two or more of these questions you can benefit from a Pre-Paid Legal Plan & Identity Theft Shield.

Christa Aufdemberg
Sr. Vice President of Group Marketing
714.904.6501 or Christappl@aol.com