National Data Research is looking to invite men and women between the ages of 25 and 65 to participate in a study on Toilet Paper

This study would take place at our Downtown facility on Tuesday, November 1st or Wednesday November 2nd. The study will last approximately 2 hours and you will be compensated with a $100 VISA gift card.

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* 1. First Name

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* 2. Last Name

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* 3. Contact Information

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* 4. Into which of the following age groups do you fall into?

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* 5. What is your exact age?

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* 6. What is the age and gender of everyone living in your household (including your husband/wife/SO)?

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* 7. Gender

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* 8. Please tell me to what degree you, yourself, participate in shopping for your household’s products. Would you say you…?

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