REVShopping F Research Spring 2012

1. Introduction

1. First Name:
2. Last Name:
3. Age:
4. Gender:
5. Email Address (for study email confirmation purposes only):
6. Phone Number:
7. What is your current employment status?
8. When was the last time, if ever, you participated in marketing research study, such as a consumer group discussion or an individual interview?
9. NOT COUNTING YOURSELF, how many people reside in your home?
10. Do you have children living at home?
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