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1. Name

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2. Gender

3. Work Phone Number

4. Cell Phone Number

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5. Best contact number between the hours of 9am-7pm

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6. Age

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7. Email Address

8. Race

9. When was the last time you participated in a research focus group or one on one interview?

10. Which of the following best describes your total household income, before taxes?

11. Please tell me the year, make and model of the vehicle(s) that you currently drive on a regualr basis?