National Data Research is looking to invite men and women between the ages of 18 and 74 to participate in a study on Grocery Shopping

This study would take place at our Skokie facility in the evening on Thursday or Friday, July 28th or 29th. The study would last one hour long and you will be paid with a $75 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. 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. Gender

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