National Data Research is looking to invite women between the ages of 25 and 70 to participate in a study on Office Products.

This study would take place at in your home on Tuesday, Wednesday or Thursday; November 1st, 2nd or 3rd. The study will last approximately 60 minutes and you will be compensated with a $175 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. Which of the following best represents your current employment status?

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* 7. Do you have children in any of the following age groups currently living at home?

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* 8. Gender

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