1. SF Upcoming PAID study on Hybrid and Electric Cars - August 2011

Thank you for taking the time to answer these brief questions. As always, we appreciate your input as a valuable Plaza Research respondent. We have a new study on Design that you may be interested in.

We are currently looking for the owners of HYBRID AND ELECTRIC CARS. This study is a 1-hour survey that pays a $200 honorarium for your participation. Immediately following the survey, you may be invited to participate in a 2-hour focus group that pays an additional $150 honorarium for your participation. This study is taking place in downtown San Francisco on Tuesday, August 23rd-Wednesday, August 24th. PLEASE NOTE: You will be asked to provide ID and an original copy of your vehicle's registration or insurance upon arrival.

IF you qualify based on the answers provided THEN you will receive a call back. However due to the popularity of our surveys and groups, we can't contact everyone.

Please note that all responses will be returned on a first come, first served basis until the studies are full.

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* 1. Contact Information

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* 2. Employment Information

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* 3. What is your gender?

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* 4. What is your age?

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* 5. What kind of Hybrid or Electric car do you own?

**IMPORTANT: PLEASE PUSH THE "DONE" BUTTON AT THE BOTTOM OF THIS SCREEN. YOUR ANSWERS WILL NOT BE SAVED WITHOUT DOING SO!**

Thank you for participating in our survey. IF you qualify based on the answers provided THEN you will receive a call back. However due to the popularity of our surveys and groups, we can't contact everyone. Please note that all responses will be returned on a first come, first served basis until the studies are full.

*****REFERRALS ARE GREATLY APPRECIATED!*****

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* 6. ******FOR COMPANY USE ONLY******
(Please press next)

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