1. Cell Phones and Wireless Services
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1
. Name (First & Last)
Name (First & Last)
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2
. Gender
Gender
Male
Female
3
. Work Phone Number
Work Phone Number
4
. Cell Phone Number
Cell Phone Number
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5
. Best contact number between the hours of 9am-7pm
Best contact number between the hours of 9am-7pm
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6
. Age
Age
*
7
. Email Address
Email Address
8
. Race
Race
White or Caucasian
Hispanic or Latino
Black or African-American
Asian-American or Pacific Islander
Native American or American Indian
Other (please specify)
9
. When was the last time you participated in a research focus group or one on one interview?
When was the last time you participated in a research focus group or one on one interview?
Less than 3 months ago
3-6 months ago
6-12 months ago
More than 1 year ago
Never
10
. Do you or does anyone in your household work in the following industries?
Yes
No
Market research
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Do you or does anyone in your household work in the following industries? Market research Yes
Market research No
Automotive
Automotive Yes
Automotive No
Telecommunications
Telecommunications Yes
Telecommunications No
Advertising
Advertising Yes
Advertising No
Sales Promotion
Sales Promotion Yes
Sales Promotion No
Computer
Computer Yes
Computer No
Cellular phone company
Cellular phone company Yes
Cellular phone company No
11
. How many times a week do you read the news, online or in the newspaper?
How many times a week do you read the news, online or in the newspaper?
Don’t read news regularly
Less than once a week
1-2 times a week
More than two times a week
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12
. Do you have your own cellular phone?
For this survey, cellular includes any kind of wireless or mobile service, such as PCS, cellular, satellite, either digital or analog.
Do you have your own cellular phone? For this survey, cellular includes any kind of wireless or mobile service, such as PCS, cellular, satellite, either digital or analog.
Yes
No
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