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Please text me. This is my preferred method of communication.

We're not trying to be rude, but how old are you? We're not trying to be rude, but how old are you? 18 - 35 36 - 50 51 - 65 65 +

Can you briefly describe your impairment?

Which area(s) do you have questions about? Which area(s) do you have questions about? Social Security / SSI Short or Long-term Disability Insurance Policy Public Employees (Ohio) Other

Are you currently receiving Social Security Disability or SSI benefits? Are you currently receiving Social Security Disability or SSI benefits? Yes No

Are you currently receiving medical treatment? Are you currently receiving medical treatment? Yes No

Which best describes your current work situation? Which best describes your current work situation? Working Not Working

What's the best time for us to call you? What's the best time for us to call you? 9 am - 12 pm 12 - 5 pm

Is there anything else we can help you with?