National Data Research will be conducting a focus group on Health Insurance at our Downtown Chicago facility and we are looking for men and women between the ages of 22 and 75 to participate!

This focus group is being conducted in two phases. The first phase would last approximately one hour and you would be paid $75 for participating. Afterwards, some respondents will be asked to stay for an additional 90 minutes. Those who are asked to stay would be paid an additional $100.

* 1. First Name

* 2. Last Name

* 3. Contact Information

* 4. What is your age?

* 5. Gender

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